New Clinical Coverage Policy for Cell & Gene Therapies

Effective Jan. 1, 2025, NC Medicaid will cover U.S. Food & Drug Administration approved cell and gene therapies

This bulletin article applies to NC Medicaid Direct and NC Medicaid Managed Care.

A new clinical coverage policy (CCP) will provide coverage for U.S. Food & Drug Administration (FDA) approved cell and gene therapies effective Jan. 1, 2025. Please consult CCP 1S-13 located on the NC Medicaid Program Specific Clinical Coverage webpage for detailed information regarding this new policy.

For beneficiaries enrolled in a managed care plan, providers should contact the appropriate health plan for that beneficiary. 

Contact

NCTracks Call Center: 800-688-6696 
NC Managed Care health plans 

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