Guidance for the 2026 – 2027 COVID-19 vaccine for NC Medicaid.
Topics Related to COVID-19
Recent court rulings now require the North Carolina Department of Health and Human Services to reverse provider rate reductions and restore rates to their Sept. 30, 2025, levels.
Includes information on vaccine reimbursement, billing, counseling coverage and Immunization Program/Vaccines for Children
Information on key benefits, copay exceptions and rates effective Oct. 1, 2024.
Permanent flexibilities approved in the TBI Waiver amendment effective March 1, 2024.
Permanent flexibilities approved in the Innovations Waiver amendment effective March 1, 2024.
NC Medicaid will begin publishing the POS vaccine rate file in January of 2024
This bulletin contains information on flexibilities that are ending six months after the end of the Federal Public Health Emergency on Nov. 11, 2023.
Includes information on vaccine reimbursement, billing, counseling coverage and Immunization Program/Vaccines for Children
COVID-19 OTC Tests for home use are covered for full Medicaid enrollees through Sept. 30, 2024.
Guidance for NC Medicaid coverage and the complete list of covered products are available on the Outpatient Pharmacy Services webpage.
Updates to the covered products are below.