Blog Entry List

This report describes findings from the second assessment of provider experience and satisfaction with the NC Medicaid program.
Beginning with date of service May 12, 2023, NC Medicaid will end temporary emergency flexibilities implemented for three claims processing edits.
Optum has been awarded a contract to implement the solution, scheduled to launch in 2024.
Effective Jan. 9, 2023, Medicaid and NC Health Choice cover mosunetuzumab-axgb injection, for intravenous use (Lunsumio).
Implementation of Tailored Plans Start Date Oct. 1, 2023
Clinical Coverage Policy 8A, Mobile Crisis Management
Effective Dec. 7, 2022, Medicaid and NC Health Choice cover bendamustine hydrochloride injection, for intravenous use (Vivimusta).
Summary of updates to Clinical Coverage Policy 5A-3 with an effective date of Feb. 1, 2023.
NC Medicaid reimburses qualified providers for medically necessary circumcision for newborns and non-newborns.
This companion guide is designed to create uniformity in the completion of the Patient Risk List. 
Effective March 1, 2023, through June 30, 2023, NC Medicaid is implementing a temporary rate increase of 40%.
Effective Feb. 1, 2022, NC Medicaid increased the Intermediate Care Facilities for Individuals with Intellectual Disabilities provider assessment.
On March 1, 2023, Beacon Health Options is changing their name to Carelon Behavioral Health.
Implementation is delayed until Oct. 1, 2023.
Support local capacity to overcome persistent health inequities by empowering and deploying community health workers (CHWs) and other care extenders to improve population health and support equitable health outcomes.