Topics Related to Medicaid Direct

Effective Date: April 1, 2025.
The PREP Act is extended to Dec. 31, 2029, expanding COVID-19 and flu vaccine access at pharmacy Point-of-Sale for ages 3 and older.
Effective Feb. 3, 2025, unless communicated otherwise by the Department
Providers affected by Hurricane Helene have additional time to submit requests for services
NC Medicaid updates mental health and substance use disorder policies.
NC Medicaid is aware of challenges and concerns from retro-enrollment changes, particularly their impact on claims and recoupments.
NC Medicaid updates mental health and substance use disorder policies.
Effective Feb. 1, 2025, Clinical Coverage Policy 10A services for beneficiaries aged 21 and older may be provided by independent practitioner providers.
Updates to NCTracks Third Party Liability process for NC Medicaid Direct.