Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Retroactive Disenrollment from NC Medicaid Managed Care
A delay in identifying individuals in NCTracks as dually eligible for Medicare and Medicaid has been discovered.
Influenza Vaccine and Reimbursement Guidelines for 2022-2023 for NC Medicaid and NC Health Choice
Updates for NC Immunization Program/Vaccines for Children and Medicaid Beneficiaries
Community Alternatives Program for Children Waiver Renewal
Proposed CAP/C Waiver renewal posted for public comment
NC Medicaid Electronic Visit Verification Update for Providers Using a Third Party / Alternate EVV Vendor
Beginning Jan. 1, 2023, home health care provider agencies subject to electronic visit verification (EVV) can use an Alternative EVV system (Alt EVV) of their choice and submit records to the Sandata Aggregator. This will comply with the 21st Century Cures Act for Electronic Visit Verification.
Pharmacy Point of Sale Process at Tailored Plan Launch
Pharmacy Point of Sale claims for members enrolled Tailored Plans will be managed by NCTracks when Tailored Plans launch through March 31, 2023.
Enhanced Medical Home Payments for Advanced Medical Homes Serving Members Eligible for Tailored Care Management
From Dec. 1, 2022, to June 30, 2023, they will receive an enhanced medical home payment of $20 per member per month.
SPECIAL BULLETIN COVID-19 #263: New NC Medicaid Webpage to Help Prepare for End of the Federal Public Health Emergency
Materials to support providers in sharing information with beneficiaries
NC Medicaid Managed Care Provider Update – Aug. 4, 2022
Key milestones, playbook updates, verifying eligibility, reverification and more
Home Health Electronic Visit Verification Stakeholder Engagement Meeting
EVV Home Health Implementation Review and Updates
Vaccine Administration Codes Reimbursement Update
Vaccine administration code changes effective Aug. 1.