The five-year cost of dispensing survey has been completed for North Carolina pharmacies.
Topics Related to Medicaid Direct
Effective Oct. 1, 2025, NC Medicaid will no longer cover the prescription drug Xifaxan (Rifaximin).
Providers can no longer bill NC Medicaid for Hospital at Home for dates of service on or after Oct. 1, 2025.
Flexibilities effective Sept. 26, 2025, for NC Medicaid beneficiaries due to Hurricane Humberto and Tropical Storm Invest 94L (Potential Imelda).
Current Procedural Terminology (CPT) code 99177, Screening of Eye with Special Instrument Onsite Analysis is separately reimbursable effective Nov. 1, 2024.
NC Medicaid is providing additional information to providers about new federal prohibitions on certain providers.
NC Medicaid is providing additional information to providers about new federal prohibitions on certain providers.
The Centers for Medicare & Medicaid Services (CMS) released the 2026 ICD-10 code list effective Oct. 1, 2025.
NC Medicaid’s Electronic Visit Verification (EVV) system for Home Health ensures compliance with federal requirements.
Effective Oct. 1, 2025, NC Medicaid coverage for GLP-1s for the treatment of obesity will be discontinued.