Revisions to previous scope of authorization
Topics Related to Physicians, Physician Assistants and Nurse Practitioners
Effective with date of service Dec. 1, 2021, Medicaid and NC Health Choice cover ranibizumab injection for intravitreal use via ocular implant.
Certain immunocompromised children will qualify for third dose of Pfizer-BioN Tech Vaccine
Oral tablets covered for those in a home setting
FDA has expanded the use of single booster dose to include ages 12-15.
Emergency use of Evusheld approved by FDA
Effective with date of service Nov 1, 2021, Medicaid and NC Health Choice programs cover pneumococcal 15-valent conjugate vaccine suspension for intramuscular injection (Vaxneuvance™).
Effective with date of service Oct. 22, 2021, Medicaid and NC Health Choice programs cover afamelanotide implant, for subcutaneous use (Scenesse®).
Beginning Dec. 9, 2021, Medicaid and NC Health Choice will cover the Pfizer-BioNTech COVID-19 vaccine booster dose for administration to individuals age 16 and older.
COVID-19 vaccination has been approved for all pediatric patients who meet specific criteria regarding COVID-19.