Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Quarterly Drug HCPCS Code Update July 1, 2022
System updates are completed to align our policies with HCPCS code changes
Leuprolide Injectable Emulsion, for Subcutaneous Use (Camcevi™) HCPCS Code J1952: Billing Guidelines
Effective April 1, 2022, Medicaid and NC Health Choice cover leuprolide injectable emulsion
Lanreotide Injection, for Subcutaneous Use HCPCS Code J3490: Billing Guidelines
Effective April 18, 2022, Medicaid and NC Health Choice cover lanreotide injection
Facility-Based Crisis Service for Children and Adolescents Policy Updated
Effective May 15, 2022, technical changes were made to address access to care concerns.
SPECIAL BULLETIN COVID-19 #259: Mandatory Coverage of COVID-19-Related Treatment Under the American Rescue Plan Act of 2021 (UPDATE)
Guidance for NC Medicaid Direct and NC Medicaid Managed Care
SPECIAL BULLETIN COVID-19 #258: Extension of Flexibility for Opioid Treatment Program Take-Home Dosing
Program sunset extended from June 30, 2022 to July 15, 2022
SPECIAL BULLETIN COVID-19 #257: Moderna Pediatric Vaccine
Primary Series for Children Ages 6 Through 11 Years
Electronic Visit Verification Home Health Provider Agency Survey
Providers are required to complete the EVV readiness survey by July 22, 2022
SPECIAL BULLETIN COVID-19 #256: Moderna Pediatric Vaccine
Primary Series for Children Ages 6 Months Through 5 Years
Skilled Nursing Facility Reimbursement Methodology Revisions
Retroactive Fair Rental Value changes approved by CMS