Medicaid Bulletin

NC Medicaid is hosting program specific office hours. Sessions will provide an opportunity for stakeholders to request technical assistance about issues and concerns.

Tobacco-related policy requirements will be effective Jan. 1, 2027.

Providers can continue billing Diagnosis Related Group claims using revenue code 0161 for room and board and occurrence span code 82.

Temporary flexibilities to the Innovations Waiver after Hurricane Helene are ending July 1, 2025.

The Centers for Medicare & Medicaid Services (CMS) requires individuals in the NC Medicaid Innovations waiver program to have a valid and comprehensive assessment.

NC Medicaid’s Electronic Visit Verification (EVV) system for Home Health ensures compliance with federal requirements.

Budget proposals from the North Carolina General Assembly do not include funding for Healthy Opportunities Pilots services beyond June 30, 2025

Tobacco-related policy requirements will be effective starting on Jan. 1, 2027.

For more information, join the Virtual Office Hours webinar Thursday, June 5, 2025, at noon.

Care Management rate considerations effective July 1, 2025.