Topics Related to Medicaid Direct

This is a reminder for providers related to the waivers the Centers for Medicare and Medicaid Services (CMS) approved for North Carolina.

Updates based on the implementation of new Office of Management and Budget labor market delineations published August 6.

Timely submissions help reduce claim denials and payment delays.

Effective Oct. 1, 2024, genetic testing policies have been revised.

This is an update to a bulletin published on Sept. 26, 2024, regarding flexibilities related to Hurricane Helene for NC Medicaid beneficiaries.

Provider guidance for reimbursement, enrollment and providing care for Medicaid beneficiaries

Information on key benefits, copay exceptions and rates effective Oct. 1, 2024.

Guidance for providers directly billing Medicare for services provided to patients with retroactive Medicare enrollment dates

An amended version of Clinical Coverage Policy 5B, Orthotics and Prosthetics promulgated on July 15, 2024.

The 2025 ICD-10 update is effective Oct. 1, 2024, through Sept. 30, 2025, for provider use for dates of service within this period.