Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Updated Guidance for NC Medicaid Payments to Planned Parenthood – Sept. 17, 2025
NC Medicaid is providing additional information to providers about new federal prohibitions on certain providers.
Updated Coverage for Psychiatric Collaborative Care Management- Sept. 17, 2025
The purpose of this bulletin update is to provide clarification that Current Procedural Terminology (CPT) Code 99494 is allowed to be billed up to four times per month, effective July 1, 2024.
Coming Soon: NCDHHS Credentialing Committee
The first meeting for the new Credentialing Committee is slated for Oct. 8, 2025.
ICD-10 Update Effective Oct. 1, 2025
The Centers for Medicare & Medicaid Services (CMS) released the 2026 ICD-10 code list effective Oct. 1, 2025.
Quarterly Provider Update – Fall 2025
Information on Credentialing Committee, Children and Families Specialty Plan (CFSP) and Upcoming Application Changes.
Managed Care Electronic Visit Verification Home Health Implementation: Hard Launch Effective Oct. 1, 2025
NC Medicaid’s Electronic Visit Verification (EVV) system for Home Health ensures compliance with federal requirements.
NC Medicaid to Change Coverage for GLP-1 Weight Management Medications
Effective Oct. 1, 2025, NC Medicaid coverage for GLP-1s for the treatment of obesity will be discontinued.
Implementation of Delegated Enrollment and Credentialing Placed on Hold
Implementation of the initiative is paused until further notice.
Rendering, Attending, Ordering or Referring Provider Information Required on Claims for NC Medicaid Managed Care
This bulletin applies to all NC Medicaid Managed Care providers.
Important Update on Tailored Plan & Prepaid Inpatient Health Plan Dually-Eligible Beneficiary Medicare Crossover Claims
NC Medicaid is now routing dual-eligible beneficiary Professional and Institutional Medicare Crossover claims to the designated NC Medicaid Managed Care payor.