Medicaid Bulletin

Changes for providers and beneficiaries effective April 1, 2023, when NC Health Choice beneficiaries transition to Medicaid.

The applicable ICD-10-Codes will be retroactive back to Jan. 1, 2023.

Includes Pharmacy Point of Sale, Physician Administered Drug Program and Outpatient Hospital Pharmacy

This billing guidance supplements clinical policies and Medicaid bulletins.

Revised EVV for Home Health Services implementation dates for NC Medicaid Direct, Standard Plans and Tailored Plans.

The insulin glargine vial and insulin glargine Solostar® will be added as Preferred on the NC Medicaid Preferred Drug List, effective Jan. 27, 2023.

Proposed CAP/C Waiver renewal application submitted to CMS for review and approval

This bulletin replaces the Nov. 16, 2022, bulletin.

The latest updates on enrollees and services delivered, success stories and how Providers can refer Medicaid Members.

Open to providers who were due for reverification during the Public Health Emergency. Ends March 31.