Medicaid Bulletin

Includes an overview of the newest Center for Medicare and Medicaid Innovation payment model for Medicare, NC Medicaid’s involvement and timelines.

New Temporary/Interim Estimated Budget Increases Added July 1, 2023.

Allows Home and Community Based Services for individuals with behavioral health, intellectual/developmental disabilities and traumatic brain injury.

Effective with date of service April 4, 2023, NC Medicaid covers velmanase alfa-tycv for injection, for intravenous use (Lamzede)

Effective with date of service April 5, 2023, NC Medicaid covers retifanlimab-dlwr injection, for intravenous use (Zynyz)

Where to find the latest bulletins, webinars, fact sheets and other information.

Effective with date of service March 27, 2023, Medicaid and NC Health Choice cover Altuviiio.

All Home Health Care providers are expected to be fully compliant with requirements on Aug. 1

Avoid Suspension and Termination by completing reverification upon notification.

Providers submitting enrollment or reverification applications will be assessed the $100 NC Medicaid Provider Application Fee.