Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Supervision Requirements of Board-Certified Behavior Analysts
Clarifies requirements related to Research Based-Behavioral Health Treatment and Specialized Consultative Services and New Taxonomy
Updated Guidance for Private Duty Nursing
Physician’s signature on the CMS 485 Plan of Care form
Overpayment Recovery Reviews
Providers are required to make adequate provision for return of any money incorrectly collected 
Clinical Coverage Policy 1A-39, Routine Patient Costs Furnished in Connection with Participation in Qualifying Clinical Trials
CCP 1A-39 has been updated to reflect changes in 1905(a) of the Social Security Act
NC Medicaid Managed Care Provider Update – April 21, 2023
Provider reverification, Tailored Plans start date Oct. 1, upcoming key milestones, playbook updates, billing requirement modifications and more.
NC Medicaid CAP/C Waiver Renewed through 2028
The waiver has received approval for another five years through Feb. 29, 2028.
REMINDER: Updates to Skilled Nursing Facility Provider Assessment Rates
Quarterly assessment rate adjustments begin April 1, 2023
Electronic Visit Verification for Home Health Services: Revised Implementation Dates - March 31, 2023
Implementation guidelines reflect the Tailored Plan launch date of Oct. 1, 2023.
Update to Billable Codes Used for Social Drivers of Health
Effective April 1, 2023, NC Medicaid is updating its guidance around billable codes for social drivers of health.
Medication-Assisted Treatment for Opioid Use Disorders in Skilled Nursing Facilities
Guidance for medication-assisted treatment in skilled nursing facilities