Topics Related to Medicaid Managed Care

Influenza Vaccine and Reimbursement Guidelines for 2024-2025 for NC Medicaid

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. 

Hurricane Helene Policy Flexibilities to Support Providers and Members - Oct. 11, 2024

This bulletin contains information on updated flexibilities being implemented by NC Medicaid due to the Hurricane Helene Public Health Emergency.

Behavioral Health Clinical Coverage Policy Updates

Withdrawal Management Policies Promulgate

Financial Support Available for Providers Impacted by Hurricane Helene

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:

Reminder to Providers on Hurricane Helene Approved Waivers for North Carolina

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

Federal Fiscal Year 2025 Hospice Core-Based Statistical Area Updates

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

NC Medicaid Managed Care Provider Update – October 3, 2024

Includes information on the Provider Ombudsman, NC Medicaid Webinars, Newly Effective Changes to Service Location Management, and more. 

Genetic Testing Policy Updates

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

Update on NC Medicaid Temporary Flexibilities Due to Hurricane Helene – October 1, 2024

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

NC Medicaid Temporary Flexibilities Due to Hurricane Helene

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