Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Japanese Encephalitis Vaccine, Inactivated, Adsorbed Suspension for Intramuscular Injection (Ixiaro®) HCPCS Code 90738 - Japanese Encephalitis Virus Vaccine, Inactivated, for Intramuscular Use: Billing Guidelines
Effective Oct. 1, 2023, NC Medicaid covers Japanese encephalitis vaccine, inactivated, adsorbed suspension for intramuscular injection.
Cholera Vaccine, Live, Oral Suspension for Oral Administration (Vaxchora®) HCPCS Code 90625 - Cholera Vaccine, Live, Adult Dosage, 1 Dose Schedule, for Oral Use: Billing Guidelines
Effective with date of service Oct. 1, 2023, NC Medicaid covers cholera vaccine, live, oral suspension for oral administration (Vaxchora).
More than 600,000 North Carolinians Newly Eligible for NC Medicaid Today
Updated toolkit available to learn who will be eligible for NC Medicaid, when and how to apply.
Requirements for Filling Prescriptions for Medicaid Beneficiaries: Reminder for the Expansion Population
NC Medicaid requires prescriptions to be ordered by Medicaid enrolled providers.
Updated Billing Guidance for Nursing Facilities
Provider guidance for submitting claims to health plans under NC Medicaid Managed Care
Standard Plans Add New Mid-Level Substance Use Treatment Services
NC Medicaid is adding mid-level substance use treatment services to Standard Plans effective October 3.
NC Medicaid Managed Care Provider Update – Nov. 22, 2023
Includes information on provider recredentialing/reverification, Medicaid expansion and more.
NC Medicaid Innovations Waiver Provider Rate Increase
Intended to Support Innovations Waiver Services Direct Care Worker Wage Increases
Federal Provider Enrollment Application Fee Increase for Year 2024
The federal fee for Medicaid enrollment has increased to $709 for calendar year 2024.
NC Medicaid Behavioral Health Services Rate Increases
Some services will receive rate increases effective Jan. 1, 2024