Topics Related to All Providers

Includes information on vaccine reimbursement, billing, counseling coverage and Immunization Program/Vaccines for Children

Includes provider recredentialing/reverification, Medicaid expansion, Tailored Plan implementation and more.

Hospital at Home Program Re-Launch: NC Medicaid will cover the Acute Hospital at Home Program starting Nov. 1, 2023.

NOTE: This Bulletin was revised on April 2, 2024 to correct an error. In the original version, published Sept. 27, 2023, it was stated that the Hospital at Home Program had a previous end date of March 31, 2021. Prior to relaunch, the previous end date was March 31, 2022, as corrected and explained below.

Effective Oct. 1, 2023, copays will no longer be required for adult vaccines and vaccine administration.

Cards are only allowed to be used exclusively for the member’s individual needs.

Additional clarification on implementation

Clinical Coverage Policy 8A, Enhanced Mental Health and Substance Abuse Services and 8C, Outpatient Behavioral Health Services

More than 600,000 people will gain access to quality care.

The 2024 ICD-10 update is effective Oct. 1, 2023 through Sept. 30, 2024.

Claims without the required EVV data will be denied.