Effective with date of service Oct. 5, 2022, Medicaid and NC Health Choice cover Bevacizumab-maly injection (Alymsys)
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This error occurred when the LARC was filled by a point-of-sale pharmacy and inserted by the provider in the clinic.
Effective with date of service Oct. 3, 2022, Medicaid and NC Health Choice cover Ranibizumab-eqrn injection, (Cimerli)
Indigotindisulfonate Sodium Injection, for Intravenous Use (Bludigo™) HCPCS Code: Billing Guidelines
Effective with date of service Sept 30, 2022, Medicaid and NC Health Choice cover Indigotindisulfonate sodium injection (Bludigo)
Includes HCPCS Code G0512 for RHCs and FQHCs
Taxonomy numbers are not included in Clinical Policy but are included in the associated Fee Schedules.
We encourage stakeholders to provide feedback by Dec. 19, 2022.
The $20 PMPM Medical Home Payments for AMHs serving members eligible for Tailored Care Management will begin in December.
Temporary flexibilities and changes run from Dec. 1, 2022, to March 31, 2023.
Please post in a prominent location such as patient waiting rooms as soon as possible.
NCDHHS will delay the implementation of North Carolina Standard Plan and Tailored Plan Tobacco-Free Policy requirements.
All fee schedules currently listed on the NC Medicaid website have been moved to a new Fee Schedule and Covered Code Portal available to the public.
Providers are encouraged to review for an overview of other general language and formatting updates.
Effective with date of service Aug. 31, 2022, Medicaid and NC Health Choice programs cover Moderna COVID-19 Vaccine
Effective with date of service August 31, 2022, Medicaid and NC Health Choice cover Pfizer-BioNTech COVID-19 Vaccine