Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

OTC COVID-19 Test for Home Use Pharmacy POS Coverage
Two FASTEP COVID 19 AG HOME TEST NDCs added to coverage.
NC Medicaid Temporary Flexibilities Due to Tropical Storm Debby
Flexibilities effective Aug. 6, 2024, for NC Medicaid beneficiaries due to Tropical Storm Debby.
NC Medicaid to Remove Copays for Drugs used to treat Opioid Use Disorder and Nicotine Replacement Therapy
Changes are effective Aug. 1, 2024
Ensuring Continuity of Care Through Tailored Plan Launch
Reminders for NC Medicaid Providers related to transitions at Tailored Plan Launch.
Guidance for Beneficiaries Enrolled in Medicaid and Other Coverage
This bulletin provides guidance to providers caring for NC Medicaid beneficiaries also enrolled in Marketplace coverage through HealthCare.gov.
Diagnosis Revisions for Chiropractic Services
Effective Aug. 1, 2024, Medicaid will require a primary diagnosis of spinal subluxation for NC Medicaid Direct claims.
Updated: Federally Qualified Health Centers and Rural Health Clinics Reimbursement Methodology Changes Approved
Standard Plans will begin to reimburse the APM rate for claims with a date of service on or after Aug. 1, 2024.
Opill to be Covered Without a Prescription
Effective Aug. 1, 2024, over the counter oral contraceptive Opill will be available without a prescription, at no cost.
New Prior Authorizations Required for Substance Use Disorder Prescriptions
Providers need to submit new prior authorizations (PA) for services subject to 42 Code of Federal Regulations (CFR) Part II.
NC Medicaid to Add Coverage for Obesity Management Medications
Effective Aug. 1, 2024, NC Medicaid will cover obesity management medications for beneficiaries 12 years of age and older.