Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

ICD-10 Annual Update Reminder
The 2024 ICD-10 update is effective Oct. 1, 2023 through Sept. 30, 2024.
ALERT: Provider Assessment Payment Phishing Attempt
Nursing Facility Providers and Intermediate Care Facilities for Individuals with Intellectual Disabilities Targeted.
Provider Reverification Reminders
Avoiding Delays and Issues with Your Reverification Application.
OTC COVID-19 Test for Home Use Pharmacy POS Coverage

COVID-19 OTC Tests for home use are covered for full Medicaid enrollees through Sept. 30, 2024.  

NC Managed Care Capitation Rates – Updated Care Management Assumptions

The North Carolina Department of Health and Human Services (the Department) is releasing updated information about the assumptions underlying the care management component of capitation payments to NC Medicaid Managed Care Prepaid Health Plan (PHPs) Standard Plans.

Influenza Vaccine and Reimbursement Guidelines for 2023-2024 for NC Medicaid (Pharmacists)

Vaccine strains for the 2023–24 influenza vaccines were selected by the Food and Drug Administration’s Vaccines and Related Biologic Products Advisory Committee based on WHO’s recommended Northern Hemisphere 2023–24 influenza vaccine composition.

Influenza Vaccine and Reimbursement Guidelines for 2023-2024 for NC Medicaid (All Providers)

Vaccine strains for the 2023–24 influenza vaccines were selected by the Food and Drug Administration’s Vaccines and Related Biologic Products Advisory Committee based on WHO’s recommended Northern Hemisphere 2023–24 influenza vaccine composition.

Updated: NC Medicaid Temporary Flexibilities Due to Hurricane Idalia
This bulletin replaces NC Medicaid Temporary Flexibilities Due to Hurricane Idalia published on Aug. 30, 2023, to correct the end date.
Changes Allow a Medicaid Beneficiary Receiving Home Health Services to be Under the Care of a Nurse Practitioner, Clinical Nurse Specialist or a Physician Assistant
Effective immediately, a nurse practitioner, clinical nurse specialist or a physician assistant may order home health services.
NC Medicaid Temporary Flexibilities Due to Hurricane Idalia
Provider guidance for reimbursement, enrollment and providing care for Medicaid beneficiaries