Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Refresher: Be Sure to Disclose on Provider Application Exclusion Sanction Questions
GDIT will no longer request supplemental information for undisclosed items discovered during the credentialing and background check process.
Ordering, Prescribing, or Referring (OPR) Provider Requirements for Hospital Outpatient Specialized Therapies (OST) Claims
Effective Sept. 1, 2024, hospital OST claims submitted to NCTracks must include the individual OPR NPI.
Ambulance Response and Treatment Coverage Code Temporarily Paused
Effective July 30, 2024, NC Medicaid temporarily paused coverage of HCPCS code A0998 (Ambulance response and treatment, no transport).
2023 Medicaid Provider Experience Survey Report Released
Describes findings from the third assessment of provider experience and satisfaction with the NC Medicaid program.
OTC COVID-19 Test for Home Use Pharmacy POS Coverage
Two FASTEP COVID 19 AG HOME TEST NDCs added to coverage.
NC Medicaid Temporary Flexibilities Due to Tropical Storm Debby
Flexibilities effective Aug. 6, 2024, for NC Medicaid beneficiaries due to Tropical Storm Debby.
NC Medicaid to Remove Copays for Drugs used to treat Opioid Use Disorder and Nicotine Replacement Therapy
Changes are effective Aug. 1, 2024
Ensuring Continuity of Care Through Tailored Plan Launch
Reminders for NC Medicaid Providers related to transitions at Tailored Plan Launch.
Guidance for Beneficiaries Enrolled in Medicaid and Other Coverage
This bulletin provides guidance to providers caring for NC Medicaid beneficiaries also enrolled in Marketplace coverage through HealthCare.gov.
Diagnosis Revisions for Chiropractic Services
Effective Aug. 1, 2024, Medicaid will require a primary diagnosis of spinal subluxation for NC Medicaid Direct claims.