Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

NC Medicaid to Cover Imported Benzathine Benzylpenicillin (Extencilline): Billing Guidelines
Effective with date of service Jan. 16, 2024, NC Medicaid covers benzathine benzylpenicillin (Extencilline)
Bicillin® L-A Rates Increased Effective Feb. 1, 2024
This rate increase in the latest Physician Administered Drug Program fee schedule supports treating Medicaid members for Congenital Syphilis.
Community Alternative Program (CAP) Personal Care Services (PCS) Rate Update
Fee schedule rate corrected on Feb. 5, 2024.
Clinical Coverage Policy updates for the 1115 Substance Use Disorder Waiver Demonstration
Policies to promulgate on May 1, 2024.
Updates to Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies
An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies with an effective date of Dec. 1, 2023, is posted.
NC Medicaid Accepting Federally-Facilitated Marketplace Eligibility Determinations
NC Medicaid began accepting Federally-facilitated Marketplace Eligibility Determinations Feb. 1, 2024
NCDHHS Consolidates Local Management Entity/Managed Care Organizations Ahead of Tailored Plan Launch
Eastpointe and Trillium Health Resources have consolidated into one entity, and Sandhills Center has dissolved.
NC Medicaid Managed Care Provider Update – Jan. 30, 2024
Includes information on LME/MCO consolidation, Innovations and TBI waivers, federal fee increase, updates to NCTracks, Medicaid expansion and more.
NC Medicaid Guidance on Sunsetting of Traumatic Brain Injury Appendix K Flexibilities
Permanent flexibilities approved in the TBI Waiver amendment effective March 1, 2024.
NC Medicaid Guidance on Sunsetting of Innovations Waiver Appendix K Flexibilities
Permanent flexibilities approved in the Innovations Waiver amendment effective March 1, 2024.