Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Skilled Nursing Facility Reimbursement Methodology Revisions
Retroactive Fair Rental Value changes approved by CMS
SPECIAL BULLETIN COVID-19 #255: Mandatory Coverage of COVID-19-Related Treatment Under the American Rescue Plan Act of 2021
Guidance for NC Medicaid Direct and NC Medicaid Managed Care
SPECIAL BULLETIN COVID-19 #254: Pfizer-BioNTech Pediatric Vaccine
Primary Series for Children Ages 6 Months to Under 5 Years
SPECIAL BULLETIN COVID-19 #253: Nursing Facility Program Updates
Minimum Data Set Focus Training Webinars for Nursing Facility Providers
Increase in Copay Amounts for Medicaid Services
On July 1, 2022, NC Medicaid copays will increase to $4. There are no changes to NC Health Choice copays.
Community Alternatives Program for Disabled Adults Waiver Amendment
Proposed CAP/DA Waiver amendment posted for public comment
SPECIAL BULLETIN COVID-19 #252: REVISED Updates to Current Temporary COVID-19 Rate Increases
Select services will continue temporary rate increases through Dec. 31, 2022.
Pharmacy Behavioral Health Clinical Edits
Edits are scheduled to resume on July 1, 2022
UPDATE: Prior Authorizations End-dated When a Beneficiary Transitions to Managed Care
NC Medicaid Direct PA effective begin and end dates will be modified to align with the individual’s eligibility segment.
Additional Healthy Opportunities Services Now Available
New services address toxic stress and multiple non-medical needs