Medicaid Bulletin

SPECIAL BULLETIN COVID-19 #165: Update to Approved Vaccines Covered by NC Medicaid

Thursday, May 6, 2021

The American Rescue Plan Act that was recently enacted includes several changes to COVID-19 Medicaid policy. As of March 11, 2021, North Carolina will be covering all approved COVID-19 vaccines for limited benefit eligibility groups.

REMINDER: Effective May 9, 2021 - NCTracks Changes to Provider Verification Process

Thursday, May 6, 2021

On May 9, 2021, NC Medicaid is taking additional steps to ensure providers meet their contractual obligation to keep credentials current on their NCTracks enrollment. NCTracks will generate a notification to providers at 60, 30 and 14 calendar days prior to the expiration date of the credential; and will begin a process of suspension if a provider fails to update their credential.

Trilaciclib for Injection, for Intravenous Use (Cosela™) HCPCS Code J3490: Billing Guidelines

Tuesday, May 4, 2021

Effective with date of service March 9, 2021, the North Carolina Medicaid and NC Health Choice programs cover trilaciclib for injection.

New Health Management System Provider Portal

Tuesday, May 4, 2021

The Health Management System Provider Relations team is excited to announce the launch of the new Provider Portal. 

NC Medicaid EHR Incentive Program Announcements - May 4, 2021

Tuesday, May 4, 2021

Program Year 2021 Announcements and the Security Risk Analysis.

Naxitamab-gqgk Injection, for Intravenous Use (Danyelza®) HCPCS Code J9999: Billing Guidelines

Tuesday, May 4, 2021

Effective with date of service Feb. 11, 2021 the North Carolina Medicaid and NC Health Choice programs cover naxitamab-gqgk injection.

Margetuximab-cmkb Injection, for Intravenous Use (Margenza™) HCPCS Code J9999: Billing Guidelines

Tuesday, May 4, 2021

Effective with date of service March 11, 2021, the North Carolina Medicaid and NC Health Choice programs cover margetuximab-cmkb injection.

ICD-10 Annual Update Reminder

Tuesday, May 4, 2021

The 2021 ICD-10 update is effective Oct. 1, 2020, through Sept. 30, 2021, for provider use for dates of service within this period. 

Evinacumab-dgnb Injection, for Intravenous Use (Evkeeza™) HCPCS Code J3590: Billing Guidelines

Tuesday, May 4, 2021

Effective with date of service Feb. 19, 2021, the North Carolina Medicaid and NC Health Choice programs cover evinacumab-dgnb injection. 

Care Management Updates – May 4, 2021

Tuesday, May 4, 2021

New Long-Term Services and Supports Care Management web page, Advanced Medical Home Provider Manual 2.1 released and Program Guide added. 

Subscribe to Medicaid Bulletins Updates

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Associated Files