Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Filgrastim-ayow Injection, for Subcutaneous or Intravenous Use (Releuko®) HCPCS Code J3590: Billing Guidelines
the Medicaid and NC Health Choice programs cover filgrastim-ayow injection, for subcutaneous or intravenous use
Ephedrine Hydrochloride Injection, for Intravenous use (Rezipres®) HCPCS code J3490: Billing Guidelines
the Medicaid and NC Health Choice programs cover ephedrine hydrochloride injection, for intravenous use
Difelikefalin Injection, for Intravenous use (Korsuva™) HCPCS code J0879 - Injection, difelikefalin, 0.1 microgram, (for ESRD on Dialysis): Billing Guidelines
Medicaid and NC Health Choice programs cover difelikefalin injection, for intravenous use
Healthy Opportunities Housing and Transportation Services Available
Qualifying Medicaid Standard Plan members in 33 North Carolina counties may receive housing and transportation services.
Non-Emergency Medicaid Transportation Updates - April 29
WellCare broker update, contracting with transportation brokers, emergent care reminder
SPECIAL BULLETIN COVID-19 #246: Direct Care Worker One-Time Bonus Reminders & Expectations
Data and clarifications on the DCW One-Time Bonus
Chimeric Antigen Receptor (CAR) T-Cell Therapy Reimbursement Guidelines
This information replaces the reimbursement guidelines posted in the December 2019 bulletin.
Tailored Care Management Updated Guidance (April 21, 2022)
Capacity building FAQs, guidance on the use of extenders, standard terms and conditions, and Provider Manual updates.
SPECIAL BULLETIN COVID-19 #245: Second Booster for Pfizer-BioNTech and Moderna Vaccines
Billing Reimbursement for second booster
SPECIAL BULLETIN COVID-19 #244: Evusheld Alternative to COVID-19 Vaccination for Some Patients
Billing Guideline for use of Evusheld