Blog Entry List

This bulletin provides details on coverage for COVID-19 Vaccines and COVID-19 Counseling after the ending of the Federal Public Health Emergency.
Effective Jan. 1, 2023, the location field must have a valid value of 1 or 2.
Beneficiaries who will be covered by the Tailored Plans will continue to receive care as they do today.
The report and instructions for completing the report are updated to capture additional information needed for Credit Balance Audits
Includes an overview of the newest Center for Medicare and Medicaid Innovation payment model for Medicare, NC Medicaid’s involvement and timelines.
New Temporary/Interim Estimated Budget Increases Added July 1, 2023.
Allows Home and Community Based Services for individuals with behavioral health, intellectual/developmental disabilities and traumatic brain injury.
Effective with date of service April 5, 2023, NC Medicaid covers retifanlimab-dlwr injection, for intravenous use (Zynyz)
Effective with date of service March 27, 2023, Medicaid and NC Health Choice cover Altuviiio.
Where to find the latest bulletins, webinars, fact sheets and other information.
Effective with date of service April 4, 2023, NC Medicaid covers velmanase alfa-tycv for injection, for intravenous use (Lamzede)
All Home Health Care providers are expected to be fully compliant with requirements on Aug. 1
Avoid Suspension and Termination by completing reverification upon notification.
New requirements for informed consent, reporting and patient information relating to abortions.
Providers submitting enrollment or reverification applications will be assessed the $100 NC Medicaid Provider Application Fee.