Blog Entry List
An updated version of Clinical Coverage Policy 5B, Orthotics and Prosthetics with an effective date of Feb. 1, 2022, is posted.
NC Medicaid has released an updated series of provider enrollment training videos, which are required components of the provider enrollment process.
Effective with date of service Dec. 22, 2021, Medicaid and NC Health Choice cover inclisiran injection, for subcutaneous use (Leqvio®).
Effective with date of service Dec. 17, 2021, Medicaid and NC Health Choice cover efgartigimod alfa-fcab injection, for intravenous use (VYVGART™).
Effective with date of service Dec. 30, 2021, Medicaid and NC Health Choice cover ropeginterferon alfa-2b-njft injection, for subcutaneous use (BESREMI®).
Follow-Up information after Office Hours and provider questions
Charter schools, as Local Education Agencies, are to participate in North Carolina Medicaid reimbursement.
Submission deadline extended from Feb. 4 to Feb. 11, 2022
Effective Feb. 1, 2022, Clinical Pharmacist Practitioner taxonomy code 1835P0018X will be allowed to bill and be reimbursed.
Eyeglasses dispensing fee schedule, coverage of eyeglasses components, and provider billing and Medicaid payment.
New DCW Initiative resource for providers
Certain COVID-19 Flexibilities implemented by NC Medicaid under State Authority will end as of March 31, 2022
Desk reviews of round two AMH+ practices/ CMAs provider applications are completed and 32 providers advanced to the site review stage.
Provider manual updated, guidance on the use of extenders, updated rate guidance and webinar series FAQs.
Changes to details regarding eligibility, timelines and provider requirements