Provides information for providers of beneficiaries enrolled in NC Medicaid Direct and NC Medicaid Managed Care
Blog Entry List
Clinical Coverage Pharmacy Policy 9 will allow for donation of abandoned Long-Acting Injectable Antipsychotics to a registered Drug Repository Program
This patient experience survey serves as a national standard for measuring and reporting respondents’ experiences with their health care.
With state budget negotiations ongoing, NCDHHS has worked with CMS to negotiate a compromise to begin submitting documents needed for federal approval to launch Medicaid expansion on October 1, 2023.
NC Medicaid is continuing the extension of the temporary/interim estimated legislative rate increases.
All Home Health Care providers are expected to be fully compliant with requirements on Oct. 1, 2023.
Includes provider recredentialing/reverification, billing requirement modifications, Tailored Plan implementation, upcoming key milestones, playbook updates and more.
Effective with date of service April 21, 2023, NC Medicaid covers paclitaxel protein-bound particles for injectable suspension, (albumin-bound)
Updates include updated policies on Acuity Tiers, Acuity-Based Contacts and Contact Monitoring.
Effective with date of service May 15, 2023, NC Medicaid covers pegfilgrastim-pbbk injection, for subcutaneous use (Fylnetra).
Effective May 30, 2023, NC Medicaid covers aripiprazole extended-release injectable suspension, for intramuscular use (Abilify Asimtufii).
Effective with date of service April 17, 2023, NC Medicaid covers bevacizumab-adcd injection, for intravenous use (Vegzelma)
A draft application for § 1915 (c) NC Innovation Waiver is posted for a 30-day public comment period.
The North Carolina Department of Health and Human Services recently awarded Acentra Health the contract as the Comprehensive Independent Assessment Entity (CIAE) for NC Medicaid. Acentra Health will provide management and oversight for the Preadmission Screening Resident Review (PASRR) Level II process and will also serve as the Local Contact Agency (LCA), responsible for providing interested Nursing Facility (NF) residents with options for transitioning from institutional care to community-based living.
This bulletin provides details on coverage for COVID-19 Vaccines and COVID-19 Counseling after the ending of the Federal Public Health Emergency.