Medicaid Bulletin

New separately reimbursable CPT codes in the ambulatory surgery setting

The Centers for Medicare & Medicaid Services has approved State Plan Amendments to revise reimbursement methodology.

Updates on the Sandata mobile app, telephony and fixed visit verification.

Revised policy in addition to services outlined in Maternity Coverage and Reimbursement Bulletin posted Oct. 23, 2023.

Providers should work with their Medicaid beneficiary’s health plan and Tailored Care Manager to transition the members to 1915(i) services.

Highlights from Year 2

The next review panel meeting is April 11, 2024

Tailored plans are all ready to launch on July 1, 2024.

This website includes resources to assist with completing the NC Medicaid application and information about becoming a Medicaid Ambassador.

Includes information on Provider Fact Sheets, LME/MCO consolidation, Innovations and TBI waivers, federal fee increase, updates to NCTracks and more.