Medicaid Bulletin

The PREP Act is extended to Dec. 31, 2029, expanding COVID-19 and flu vaccine access at pharmacy Point-of-Sale for ages 3 and older.

Effective Feb. 3, 2025, unless communicated otherwise by the Department

Information on Hurricane Helene Flexibilities, OPR Updates, MFA for All NCTracks Users, and more.

Providers affected by Hurricane Helene have additional time to submit requests for services

Includes Consolidated Appropriations Act Section 5121 Guidance.

Health plans are required to pay interest to providers if they fail to accurately pay or inappropriately deny a claim.

NC Medicaid updates mental health and substance use disorder policies.

Vaya Health provides outreach, education and transition coordination.

NC Medicaid is aware of challenges and concerns from retro-enrollment changes, particularly their impact on claims and recoupments.

To reduce the provider administrative burden during the enrollment application process, an important update has been made.