Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

NCDHHS Awards Contract for Comprehensive Independent Assessment Entity
Once fully implemented, beneficiaries and providers will have a single point of entry for obtaining LTSS programs in NC Medicaid Direct.
DEADLINE EXTENDED - Provider Feedback Needed by June 23
Provider Feedback is needed to inform the design of the new Provider Data Management / Credentialing Verification Organization. Please complete survey by Friday, June 23, 2023
Durable Medical Equipment Reimbursement Rates Added for Six Manually Priced HCPCS Codes
DME Fee schedule updated effective Feb. 28, 2023
Provider Feedback Needed to Inform Design of New Provider Data Management / Credentialing Verification
Please complete survey by Friday, June 16, 2023
Ambulatory Surgery Center CPT Code Added
Claims for dates of service on or after April 1, 2023, that have been denied for place of service can now be resubmitted.
Adding Physical Therapists to Electrodiagnostic Studies
Physical Therapists who obtain designation as a Board Certified Clinical Electrophysiologic Specialist may now perform electrodiagnostic services.
OTC COVID-19 Test for Home Use Pharmacy POS Coverage
On/Go COVID-19 HOME COLLECT KIT added to coverage.
Flortaucipir F 18 Injection, for Intravenous Use (Tauvid™) HCPCS Code A9601 - Flortaucipir F 18 Injection, Diagnostic, 1 Millicurie: Billing Guidelines
Effective with date of service, March 6, 2023, Medicaid and NC Health Choice cover flortaucipir F 18 injection.
New Clinical Coverage Policy (CCP) 11B-9, Thymus Tissue Implantation Effective June 1, 2023
This policy addresses thymus tissue implantation using allogeneic processed thymus tissue.
More than 8,500 Medicaid Members Receive Healthy Opportunities Services in First Year
Highlights from the first year and how to refer Medicaid members for services.