Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Electronic Visit Verification Capture Updates
Updates on the Sandata mobile app, telephony and fixed visit verification.
Changes to the 1E-5 Obstetrical Services Policy Effective April 1, 2024
Revised policy in addition to services outlined in Maternity Coverage and Reimbursement Bulletin posted Oct. 23, 2023.
1915(b)(3) Services Transition to 1915(i) Services by June 30, 2024
Providers should work with their Medicaid beneficiary’s health plan and Tailored Care Manager to transition the members to 1915(i) services.
More than 20,000 Medicaid Members Enrolled in Healthy Opportunities in First Two Years
Highlights from Year 2
Transition to Quarterly Meetings for the Preferred Drug List Review Panel
The next review panel meeting is April 11, 2024
Tailored Plan Launch Announcement
Tailored plans are all ready to launch on July 1, 2024.
NC Medicaid Ambassador Initiative Site Launches to Assist Medicaid Applicants
This website includes resources to assist with completing the NC Medicaid application and information about becoming a Medicaid Ambassador.
NC Medicaid Managed Care Provider Update – March 27, 2024
Includes information on Provider Fact Sheets, LME/MCO consolidation, Innovations and TBI waivers, federal fee increase, updates to NCTracks and more.
Tobacco-Related Policy Requirements go into Effect on July 1, 2024
Tobacco-Related Policy Requirements Delayed until July 1, 2025
Policy Updates for Behavioral Health Providers
Clinical Coverage Policy 8A, Enhanced Mental Health and Substance Abuse Services Update