The implementation of the Rate Reimbursement Methodology for individuals living in congregate settings will take effect on April 1, 2025.
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Children with NC Medicaid temporarily living in another state can get a free Vaccine for Children (VFC) vaccine from any VFC provider in that state.
Effective Jan. 1, 2025, NC Medicaid will cover U.S. Food & Drug Administration approved cell and gene therapies
Effective with date of service Jan. 1, 2025, new CPT codes have been added, some end-dated, and descriptions of some existing codes have been updated
This bulletin has updated end dates & additional flexibilities for Behavioral Health, Care Management, Innovations, and Long-Term Services & Supports.
This is an update to the September 2016 Medicaid Ordering, Prescribing or Referring Special Bulletin.
This bulletin applies to NC Medicaid Direct.
This bulletin applies to NC Medicaid Direct and NC Medicaid Managed Care.
The federal fee for Medicaid enrollment has increased to $730 for calendar year 2025.
NC Medicaid will continue the current Tailored Care Management temporary payment rate of $343.97 statewide through June 30, 2025.
Includes information on Change of Ownership Requirement, Upcoming Webinars, and more.
Two policies will be effective on Jan. 1, 2025, and posted to the NC Medicaid website.
Effective Jan. 1, 2025, the unit of reimbursement will change from a 15-minute increment to a daily per diem.
Health plans are required to pay interest to providers if they fail to accurately pay or inappropriately deny a claim.