Topics Related to Facilities

The Centers for Medicare & Medicaid Services has approved State Plan Amendments to revise reimbursement methodology.

Clinical Coverage Policy 8A, Enhanced Mental Health and Substance Abuse Services Update

Provider guidance for submitting claims to health plans under NC Medicaid Managed Care

Beginning Nov. 6, 2023, Section Q Referrals should be made to Acentra

This bulletin provides updates on NC Medicaid programs that received legislative increases to service rates in the Current Operations Appropriations Act of 2023 (SL 2023-134).

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.

Nursing Facility Providers and Intermediate Care Facilities for Individuals with Intellectual Disabilities Targeted.

This bulletin provides updates on NC Medicaid’s Skilled Nursing Facility (SNF) reimbursement program.

New Temporary/Interim Estimated Budget Increases Added July 1, 2023.

Quarterly assessment rate adjustments begin April 1, 2023