Medicaid Bulletin

NCDHHS will implement an Electronic Visit Verification system for Home Health Care services starting with a soft launch Jan. 1, 2023, and a hard launch April 1, 2023. This complies with the 21st Century Cures Act.

NC Medicaid is sharing a list of member counts for Advanced Medical Home practices affiliated with Tailored Plans

Effective June 22, 2022, Medicaid and NC Health Choice cover Nalmefene hydrochloride injection (Revex™)

Effective June 21, 2022, Medicaid and NC Health Choice cover Vutrisiran injection, for subcutaneous use (Amvuttra).

Effective June 22, 2022, Medicaid and NC Health Choice cover Risankizumab-rzaa Injection, for intravenous use (Skyrizi).

The PDAP Medicaid fee schedule requires multiple rate updates

CAHPS is a patient experience survey that serves as a national standard for measuring and reporting respondents’ experiences with their health care.

Evaluates the impact of the North Carolina Medicaid Transformation on primary care and obstetrics/gynecology (Ob/Gyn) practices

An amended version is posted with an effective date of Aug. 1, 2022

Quality metrics that will assess health plans’ performance across their populations