This bulletin applies to NC Medicaid Direct and NC Medicaid Managed Care.
COVID-19 over the counter (OTC) tests for home use are covered for full Medicaid beneficiaries through Sept. 30, 2024. Guidance for NC Medicaid coverage and the complete list of covered products are available on the Outpatient Pharmacy Services webpage.
Coverage of one kit per claim per date of service is allowed up to a maximum of eight tests every rolling 30 days. The eight total tests could be mixed and matched between covered products to get a total of eight tests.
Updates to the covered products are below.
| Test name | NDC | # Tests in Kit | Billing Unit | SMAC | Effective Date |
|---|---|---|---|---|---|
| Fastep Covid-19 Ag Home Test | 10022063031 | 1 | 1 | $9.99/test; $9.99/Kit | 7/15/2024 |
| Fastep Covid-19 Ag Home Test | 10022063043 | 4 | 4 | $8.25/test; 33.00/Kit | 7/15/2024 |
Contact
NCTracks Call Center: 800-688-6696
For information on NC Medicaid Managed Care Health Plan effective dates, please contact health plans leveraging the information on the Health Plan Contacts and Resources page.