Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Pharmacy Behavioral Health Clinical Edits
Edits are scheduled to resume on July 1, 2022
UPDATE: Prior Authorizations End-dated When a Beneficiary Transitions to Managed Care
NC Medicaid Direct PA effective begin and end dates will be modified to align with the individual’s eligibility segment.
Additional Healthy Opportunities Services Now Available
New services address toxic stress and multiple non-medical needs
SPECIAL BULLETIN COVID-19 #251: Sunsetting of Temporary COVID-19 Flexibilities Tied to the NC State of Emergency
Some flexibilities will sunset on June 30, 2022
Tailored Plan 101: Ready, Set, Launch Series
New series begins June 16, 2022
SPECIAL BULLETIN COVID-19 #250: Planning for the Transition out of the Appendix K Public Health Emergency for CAP/C and CAP/DA Waivers
Stakeholder dialogs on ending CAP flexibilities coming soon
Prior Approval Requirements Resume for Children’s Developmental Services Agency Providers
PA Resumes for Behavioral Health Services Effective July 15, 2022
Updates to Requirements for the Consent for Sterilization Form
The estimated effective date for this policy update is Aug. 1, 2022.
NC Medicaid Managed Care Provider Update - June 7, 2022
Key milestones, playbook updates, verifying beneficiary eligibility, provider reverification, review provider record in NCTracks and more.
Electronic Visit Verification Personal Care Services Upcoming Claims Reprocessing
Rate increase for EVV PCS claims