Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Changes Required for Justice Involved Youth Per Section 5121 of 2023 Consolidated Appropriations Act (CAA)
This bulletin describes the changes required under CAA 5121 as well as reminders on the suspension of benefits during incarceration.
Personal Care Services Realignment Launch
The Per Diem Rate Methodology for Congregate Settings effective April 1, 2025.
NC Medicaid Standard Plan Program Enhancements
Public comments requested by May 7, 2025.
Updates on Electronic Visit Verification for Home Health Care Services and Direct Billing
NC Medicaid’s Electronic Visit Verification (EVV) system for Home Health ensures compliance with federal requirements
Quarterly Provider Update – Spring 2025
Information on Provider Ombudsman, CFSP, and Upcoming Credentialing Changes.
Corrections to 2025 CPT Code Update Bulletin Effective Jan. 1, 2025
This corrects the end-date for code G9920 in the December 2024 bulletin.
Value-Based Payment Update: AMH Standardized Performance Incentive Program Draft Policy Guide
Feedback Requested on Proposed Approach.
ICD-10-PCS Update Effective April 1, 2025
The Centers for Medicare & Medicaid Services (CMS) is implementing 50 new procedure codes effective April 1, 2025.
NC Medicaid Long Term Services and Supports 2025 Forum Announcement
Forum to be held June 4-5 in Raleigh.
NC Medicaid Provider Update March 13
Information on Hurricane Helene Flexibilities, OPR Updates, MFA for All NCTracks Users, and more