Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Nursing Equipment and Supplies Policy Updated
An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies promulgated on March 1, 2024, with an effective date of Jan. 1, 2024.
Update Billing Agent and Apply for Hardship Advances Change Healthcare Cyberattack
Additional Provider Flexibilities to Support Providers during Change Healthcare Disruption
Instances where Electronic Visit Verification Claims for NC Medicaid Direct will Deny
Claims that reuse the same visit key for multiple dates of service, MIDs, NPIs or procedure codes will deny.
Waitlist for the NC Medicaid Community Alternatives Program for Disabled Adults Program
Effective Feb. 16, 2024, individuals requesting to receive services may be placed on a waitlist.
Supervision Requirements for Board Certified Behavior Analysts Update
Clarification on the expiration of S.L. 2022-74 Section 9K.3 supervision flexibilities and a new taxonomy for Behavioral Analyst
Reminder: Medical and Routine Eye Exams and Visual Aids are not Covered Under Telehealth
Guidance for ophthalmologists, optometrists and opticians regarding clinical coverage policies for medical and routine eye exams and visual aids.
NC Medicaid to Cover Imported Benzathine Benzylpenicillin (Extencilline): Billing Guidelines
Effective with date of service Jan. 16, 2024, NC Medicaid covers benzathine benzylpenicillin (Extencilline)
Bicillin® L-A Rates Increased Effective Feb. 1, 2024
This rate increase in the latest Physician Administered Drug Program fee schedule supports treating Medicaid members for Congenital Syphilis.
Community Alternative Program (CAP) Personal Care Services (PCS) Rate Update
Fee schedule rate corrected on Feb. 5, 2024.
Clinical Coverage Policy updates for the 1115 Substance Use Disorder Waiver Demonstration
Policies to promulgate on May 1, 2024.