Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Local Management Entity/Managed Care Organization Enrollment Changes for April 1, 2023
Behavioral health prior authorizations effective April 1, 2023
NC Medicaid Managed Care Provider Update – March 22, 2023
Implementation of Tailored Plans, playbook update, Provider reverification, NC Health Choice move to Medicaid, NCTracks Provider records and more.
Lantus Update on NC Medicaid Preferred Drug List for NC Medicaid Direct
Lantus® SoloStar® / Vial will move to preferred on the NC Medicaid Preferred Drug List, effective March 24, 2023.
SPECIAL BULLETIN COVID-19 #266: Update on Temporary COVID-19 Rate Increases
Rate increases continuing and effects on managed care plans and contracted providers
Provider Reverification Process Update - March 15, 2023
Providers for whom reverification was delayed are being organized into groups to ensure reverification is completed timely. 
North Carolina Standard Plan, Tailored Plan and LME/MCO Tobacco-Free Policy Requirement
Tobacco-related policy requirements go into effect on April 1, 2024.
NC Medicaid Managed Care Capitation Rates – Care Management Assumptions
Updated information about the assumptions underlying the care management component of capitation payments to Standard Plans
NC Health Choice Move to Medicaid: Timeline for Claims Adjudication and Process for Prior Approvals
As of April 1, 2023, all NC Health Choice beneficiaries with active eligibility will be moved to Medicaid.
SPECIAL BULLETIN COVID-19 #265: Ending Clinical Policy Flexibilities Associated with the Federal Public Health Emergency
Flexibilities ending at or after the end of the Federal Public Health Emergency
Over the Counter COVID-19 Test for Home Use Pharmacy POS Coverage
PIXEL COVID-19 Home Collection Kit Change