Topics Related to Medicaid Managed Care

Information to share with beneficiaries to increase participation
Effective Sept. 1, 2024, NC Medicaid will begin covering condoms and spermicides as over-the-counter products, through the pharmacy benefit.
Hardship advances may be available for those at risk of not meeting financial obligations
Effective Sept. 1, 2024, hospital OST claims submitted to NCTracks must include the individual OPR NPI.
Describes findings from the third assessment of provider experience and satisfaction with the NC Medicaid program.
Two FASTEP COVID 19 AG HOME TEST NDCs added to coverage.
Flexibilities effective Aug. 6, 2024, for NC Medicaid beneficiaries due to Tropical Storm Debby.
This bulletin provides guidance to providers caring for NC Medicaid beneficiaries also enrolled in Marketplace coverage through HealthCare.gov.
Standard Plans will begin to reimburse the APM rate for claims with a date of service on or after Aug. 1, 2024.