Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Effective Dec. 1, 2024, some drug testing CPT codes will no longer be reimbursed in the outpatient setting.
Withdrawal Management Policies Promulgate

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:

This is a reminder for providers related to the waivers the Centers for Medicare and Medicaid Services (CMS) approved for North Carolina.
Timely submissions help reduce claim denials and payment delays.
Includes information on the Provider Ombudsman, NC Medicaid Webinars, Newly Effective Changes to Service Location Management, and more. 
Updates based on the implementation of new Office of Management and Budget labor market delineations published August 6.
Effective Oct. 1, 2024, NC Medicaid decreased the provider assessment rates
Effective Oct. 1, 2024, NC Medicaid decreased the Intermediate Care Facilities for Individuals with Intellectual Disabilities provider assessment
Effective Oct. 1, 2024, genetic testing policies have been revised.