The implementation of the Rate Reimbursement Methodology for individuals living in congregate settings will take effect on April 1, 2025.
Topics Related to Medicaid Direct
Effective with date of service Jan. 1, 2025, new CPT codes have been added, some end-dated, and descriptions of some existing codes have been updated
Effective Jan. 1, 2025, NC Medicaid will cover U.S. Food & Drug Administration approved cell and gene therapies
Children with NC Medicaid temporarily living in another state can get a free Vaccine for Children (VFC) vaccine from any VFC provider in that state.
This is an update to the September 2016 Medicaid Ordering, Prescribing or Referring Special Bulletin.
This bulletin has updated end dates & additional flexibilities for Behavioral Health, Care Management, Innovations, and Long-Term Services & Supports.
This bulletin applies to NC Medicaid Direct and NC Medicaid Managed Care.
This bulletin applies to NC Medicaid Direct.
NC Medicaid will continue the current Tailored Care Management temporary payment rate of $343.97 statewide through June 30, 2025.
Effective Jan. 1, 2025, the unit of reimbursement will change from a 15-minute increment to a daily per diem.