Providers can no longer bill NC Medicaid for Hospital at Home for dates of service on or after Oct. 1, 2025.
Blog Entry List
Flexibilities effective Sept. 26, 2025, for NC Medicaid beneficiaries due to Hurricane Humberto and Tropical Storm Invest 94L (Potential Imelda).
Fee schedules impacted by rate reductions will be released Oct. 1 2025, but are subject to change if additional appropriations are made available.
Current Procedural Terminology (CPT) code 99177, Screening of Eye with Special Instrument Onsite Analysis is separately reimbursable effective Nov. 1, 2024.
NC Medicaid is providing additional information to providers about new federal prohibitions on certain providers.
Providers and pharmacies should always use NCTracks to confirm Medicaid eligibility
Effective Sept. 16, 2025, the Total Cost of Care Dashboard is decommissioned.
Join NC Medicaid and the Health Plans on October 8 for the virtual quality forum
The first meeting for the new Credentialing Committee is slated for Oct. 8, 2025.
NC Medicaid is providing additional information to providers about new federal prohibitions on certain providers.
The purpose of this bulletin update is to provide clarification that Current Procedural Terminology (CPT) Code 99494 is allowed to be billed up to four times per month, effective July 1, 2024.
The Centers for Medicare & Medicaid Services (CMS) released the 2026 ICD-10 code list effective Oct. 1, 2025.
Information on Credentialing Committee, Children and Families Specialty Plan (CFSP) and Upcoming Application Changes.
NC Medicaid’s Electronic Visit Verification (EVV) system for Home Health ensures compliance with federal requirements.
Effective Oct. 1, 2025, NC Medicaid coverage for GLP-1s for the treatment of obesity will be discontinued.