Beginning with date of service May 12, 2023, NC Medicaid will end temporary emergency flexibilities implemented for three claims processing edits.
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Optum has been awarded a contract to implement the solution, scheduled to launch in 2024.
Effective Dec. 7, 2022, Medicaid and NC Health Choice cover bendamustine hydrochloride injection, for intravenous use (Vivimusta).
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
NC Medicaid reimburses qualified providers for medically necessary circumcision for newborns and non-newborns.
Summary of updates to Clinical Coverage Policy 5A-3 with an effective date of Feb. 1, 2023.
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.
Effective March 1, 2023, through June 30, 2023, NC Medicaid is implementing a temporary rate increase of 40%.
This companion guide is designed to create uniformity in the completion of the Patient Risk List.
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.
Federal law requires all Medicaid providers to complete the recredentialing process.