Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

NC Medicaid Managed Care Patient Risk List Companion Guide Released
This companion guide is designed to create uniformity in the completion of the Patient Risk List. 
Beacon Health Options Name Change Coming March 1
On March 1, 2023, Beacon Health Options is changing their name to Carelon Behavioral Health.
Assessment Fee Increase for Intermediate Care Facilities for Individuals with Intellectual Disabilities
Effective Feb. 1, 2022, NC Medicaid increased the Intermediate Care Facilities for Individuals with Intellectual Disabilities provider assessment.
NCDHHS Delays Implementation of the NC Medicaid Managed Care Behavioral Health and I/DD Tailored Plans
Implementation is delayed until Oct. 1, 2023.
Provider Reverification Process to be Reinstated at End of Federal Health Emergency
Federal law requires all Medicaid providers to complete the recredentialing process.
Policy Update for Behavioral Health Providers Effective Feb. 15, 2023
Clinical Coverage Policy 8A, Mobile Crisis Management and State Plan Update
NC Medicaid’s Community Health Worker Strategy Guidance Paper
Support local capacity to overcome persistent health inequities by empowering and deploying community health workers (CHWs) and other care extenders to improve population health and support equitable health outcomes.
Updated Sterilization Consent Form
This bulletin replaces Updated Sterilization Consent Form published on Feb. 14, 2023.
Updated Sterilization Consent Form
The sterilization consent form found on the U.S. Department of Health & Human Services website has been updated.
tremelimumab-actl Injection, for Intravenous Use (Imjudo®) HCPCS Code J9999 - Not Otherwise Classified, Antineoplastic Drugs: Billing Guidelines
Effective Nov. 16, 2022, Medicaid and NC Health Choice cover tremelimumab-actl injection.