Two policies will be effective on Jan. 1, 2025, and posted to the NC Medicaid website.
Topics Related to Medicaid Direct
Includes information on vaccine reimbursement, billing, counseling coverage and Immunization Program/Vaccines for Children
Health plans are required to pay interest to providers if they fail to accurately pay or inappropriately deny a claim.
For providers unable to provide services under an active, approved service plan due to the impacts of Hurricane Helene.
This survey provides a national standard for assessing beneficiaries’ health care experience.
This bulletin applies to both NC Medicaid Direct and NC Managed Care health plans.Vaccine strains for the 2024–25 influenza vaccines were selected by the Food and Drug Administration’s Vaccines and Related Biologic Products Advisory Committee (VRBPAC) based on WHO’s recommended Northern Hemisphere 2024–25 influenza vaccine composition. For details on the 2024-2025 influenza vaccines, visit the Centers for Disease Control (CDC) Flu Season web page.
This bulletin contains information on updated flexibilities being implemented by NC Medicaid due to the Hurricane Helene Public Health Emergency.
Effective Dec. 1, 2024, some drug testing CPT codes will no longer be reimbursed in the outpatient setting.
NC Medicaid and the health plans are committed to supporting providers impacted by the devastating effects of Hurricane Helene. The following financial supports may be available to providers, even if they are unable to submit claims or perform services: