Medicaid Bulletin

Beginning with date of service May 12, 2023, NC Medicaid will end temporary emergency flexibilities implemented for three claims processing edits.

This report describes findings from the second assessment of provider experience and satisfaction with the NC Medicaid program.

Clinical Coverage Policy 8A, Mobile Crisis Management

Optum has been awarded a contract to implement the solution, scheduled to launch in 2024.

Implementation of Tailored Plans Start Date Oct. 1, 2023

Effective Jan. 9, 2023, Medicaid and NC Health Choice cover mosunetuzumab-axgb injection, for intravenous use (Lunsumio).

Effective Dec. 7, 2022, Medicaid and NC Health Choice cover bendamustine hydrochloride injection, for intravenous use (Vivimusta).

Summary of updates to Clinical Coverage Policy 5A-3 with an effective date of Feb. 1, 2023.

NC Medicaid reimburses qualified providers for medically necessary circumcision for newborns and non-newborns.

Effective March 1, 2023, through June 30, 2023, NC Medicaid is implementing a temporary rate increase of 40%.