Medicaid Bulletin

Updated Breast and Cervical Cancer Control Program Criteria

Tuesday, September 29, 2020

North Carolina’s Breast and Cervical Cancer Control Program has changed the criteria to allow additional providers who screen and diagnose women for breast and cervical cancer to refer to Breast and Cervical Cancer Medicaid.

Ensure Your Information Displays Correctly in NC’s Provider Directory Tool – Provider & Health Plan Look-Up

Friday, September 25, 2020

As NC Medicaid moves forward with its planned implementation of Medicaid Managed Care, it is important for enrolled providers to act now to thoroughly review their individual and organization provider enrollment record in NCTracks. 

SPECIAL BULLETIN COVID-19 #136: NC Medicaid Receives Approval for Expanded Flexibilities for Home and Community Services - NC Innovations Waiver

Wednesday, September 23, 2020

NC Medicaid has received federal approval of additional flexibilities during the COVID-19 pandemic for the NC Innovations Waiver, for individuals with intellectual and developmental disabilities (IDD).

New Webinar Series for Medicaid Providers and Practice Leaders

Wednesday, September 23, 2020

The North Carolina Department of Health and Human Services and North Carolina AHEC are offering two monthly evening webinar series to help prepare providers, practice managers and quality managers engage with NC Medicaid. 

Behavioral Health Policy Update

Wednesday, September 23, 2020

Amended policies will post to the NC Medicaid Clinical Coverage Policies website with an effective date of Oct. 1, 2020. 

Tafasitamab-cxix for Injection, for Intravenous Use (Monjuvi®) HCPCS Code J9999: Billing Guidelines

Tuesday, September 22, 2020

Effective with date of service Aug. 13, 2020, the Medicaid and NC Health Choice programs cover tafasitamab-cxix for injection, for intravenous use (Monjuvi®) for use in the Physician Administered Drug Program (PADP) when billed with HCPCS code J9999 - Not otherwise classified, antineoplastic drugs.

SPECIAL BULLETIN COVID-19 #135: Expectation to Comply with Infection Control and Prevention Measures

Tuesday, September 22, 2020

Strong infection prevention and control practices are critical to reducing the transmission of COVID-19 within long-term care facilities. NC DHHS is reiterating its expectation that providers participate in the infection prevention and control activities. 

SPECIAL BULLETIN COVID-19 #134: Clarification of COVID-19 Temporary Rate Increases and Clinical Policy Changes

Tuesday, September 22, 2020

This bulletin replaces SPECIAL BULLETIN COVID-19 #119 in its entirety.

SPECIAL BULLETIN COVID-19 #133: COVID-19 Exposure Notification App Available

Tuesday, September 22, 2020

The North Carolina Department of Health and Human Services announced the launch of a COVID-19 Exposure Notification app called SlowCOVIDNC. The app will help North Carolinians slow the spread of the virus by alerting them when they may have been exposed to someone who has tested positive for COVID-19.

Public Comment Period for Community Alternatives Program for Children Waiver Renewal

Tuesday, September 22, 2020

To begin the preparation for the renewing of the CAP/C waiver, NC Medicaid is soliciting comments, recommendations, and suggestions in the areas of access, flexibilities of home and community-based services, and operational efficiencies. An open public comment period begins Sept. 22, 2020. 

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