Providers should review Clinical Coverage Policy 2A-1 for information on Hospital Observation
Topics Related to Hospital Providers
Billing Requirements for Medicaid Direct Providers
Coverage Effective Nov. 1, 2023.
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.
In compliance with federal requirements, beneficiary consent is required for all voluntary sterilizations.
Flexibilities ending at or after the end of the Federal Public Health Emergency
This bulletin provides guidance to assist hospital providers’ compliance with federal requirements.
In response to the COVID-19 public health emergency, the Centers for Medicare and Medicaid Services (CMS) is implementing 12 new procedure codes to describe the introduction or infusion of therapeutics into the International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS), effective Aug. 1, 2020.
For clarification purposes of information communicated in October 2018 Medicaid Bulletin, please note that effective Oct.
Additional information on prior authorization is available.