Medicaid Bulletin

Effective with date of service Aug. 31, 2022, Medicaid and NC Health Choice programs cover Moderna COVID-19 Vaccine

Providers are encouraged to review for an overview of other general language and formatting updates.

Effective Nov. 3, 2022, fee schedules currently listed on the NC Medicaid website will move to a new public fee schedule and covered code website.

Effective Oct. 1, 2022, Pluvicto must be billed with HCPCS code A9607

Updated HCPCS Code, unit of coverage and maximum reimbursement rate

The delay in conducting assessments has slowed the generation of prior approvals for the continuation of PCS.

Key milestones, playbook updates, beneficiary eligibility, reverification, provider records, provider ombudsman, help center and webinars.

This bulletin specifies Medicaid flexibilities ending with the Hurricane Ian state of emergency and those remaining as part of the Federal COVID-19 public health emergency.

For NC Medicaid Direct Home Health Care Service Providers Who Elect Sandata, NC Medicaid’s Free Solution

Medicaid Home Health Care Services subject to Electronic Visit Verification