Medicaid Bulletin

Effective Oct. 1, 2023, copays will no longer be required for adult vaccines and vaccine administration.

Cards are only allowed to be used exclusively for the member’s individual needs.

NC Medicaid will cover the Acute Hospital at Home Program starting Nov. 1, 2023.

Effective with date of service May 26, 2023, NC Medicaid covers risperidone extended-release injectable suspension, for subcutaneous use (Uzedy)

Clinical Coverage Policy 8A, Enhanced Mental Health and Substance Abuse Services and 8C, Outpatient Behavioral Health Services

Additional clarification on implementation

Effective with date of service June 2, 2023, NC Medicaid covers epcoritamab-bysp injection, for subcutaneous use (Epkinly)

Mitigation process for any adverse impact for nursing facilities if a PASRR authorization is delayed.

Near Relatives and Legally Responsible Persons May Deliver Skilled Nursing Service to a PDN-eligible Beneficiary.

More than 600,000 people will gain access to quality care.