Blog Entry List
Effective with date of service May 26, 2023, NC Medicaid covers risperidone extended-release injectable suspension, for subcutaneous use (Uzedy)
Effective with date of service June 2, 2023, NC Medicaid covers epcoritamab-bysp injection, for subcutaneous use (Epkinly)
More than 600,000 people will gain access to quality care.
Near Relatives and Legally Responsible Persons May Deliver Skilled Nursing Service to a PDN-eligible Beneficiary.
Mitigation process for any adverse impact for nursing facilities if a PASRR authorization is delayed.
NC Medicaid Direct programs will transition to NCLIFTSS by Oct. 6, 2023
The 2024 ICD-10 update is effective Oct. 1, 2023 through Sept. 30, 2024.
Claims without the required EVV data will be denied.
Nursing Facility Providers and Intermediate Care Facilities for Individuals with Intellectual Disabilities Targeted.
Vaccine strains for the 2023–24 influenza vaccines were selected by the Food and Drug Administration’s Vaccines and Related Biologic Products Advisory Committee based on WHO’s recommended Northern Hemisphere 2023–24 influenza vaccine composition. For details on the 2023-2024 influenza vaccines, visit the Centers for Disease Control (CDC) Flu Season web page.
Vaccine strains for the 2023–24 influenza vaccines were selected by the Food and Drug Administration’s Vaccines and Related Biologic Products Advisory Committee based on WHO’s recommended Northern Hemisphere 2023–24 influenza vaccine composition. For details on the 2023-2024 influenza vaccines, visit the Centers for Disease Control (CDC) Flu Season web page.
COVID-19 OTC Tests for home use are covered for full Medicaid enrollees through Sept. 30, 2024. Guidance for NC Medicaid coverage and the complete list of covered products are available on the Outpatient Pharmacy Services webpage. Updates to the covered products are below.
The North Carolina Department of Health and Human Services (the Department) is releasing updated information about the assumptions underlying the care management component of capitation payments to NC Medicaid Managed Care Prepaid Health Plan (PHPs) Standard Plans. The PHP Standard Plan capitation rates developed by the Department reflect its belief that investment in robust community-based care management will drive improvements in care outcomes and achieve greater value from the state’s Medicaid dollar.