Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

SPECIAL BULLETIN COVID-19 #237: Extension of NC State of Emergency Temporary Flexibilities
End-date of some flexibilities set to sunset March 31 extended to June 30, 2022
NC Medicaid Managed Care Provider Update – March 18, 2022
Key dates, playbook updates, coverage for pregnant beneficiaries extended to 12 months and more
Coverage for Psychiatric Collaborative Care Management Updated
Includes HCPCS Code G2214 and Revision to Definition of Behavioral Health Care Manager
Updates to Clinical Coverage Policy 5A-2, Respiratory Equipment and Supplies
An amended version of Clinical Coverage Policy 5A-2, Respiratory Equipment and Supplies with an effective date of Feb. 1, 2022, is posted.
Triamcinolone Acetonide Injectable Suspension, for Suprachoroidal use (Xipere™) HCPCS Code J3490: Billing Guidelines
Effective with date of service Jan. 27, 2022, the Medicaid and NC Health Choice programs cover triamcinolone acetonide injectable suspension.
Provider Reverification Requirements to be Reinstated
With the end of the Federal Public Health Emergency, NCTracks will resume the provider reverification process.
Pemetrexed Injection (Pemfexy™) HCPCS Code J9304: Billing Guidelines
Effective with date of service Feb 1, 2022, the Medicaid and NC Health Choice programs cover pemetrexed injection, for intravenous use (Pemfexy™).
Healthy Opportunities Food Services Available
Qualifying Medicaid Standard Plan members in 33 North Carolina counties may now receive food services.
Faricimab-svoa Injection, for Intravitreal use (Vabysmo™) HCPCS Code J3590: Billing Guidelines
Effective with date of service Feb. 7, 2022, the Medicaid and NC Health Choice programs cover faricimab-svoa.
Taxonomy Enrollment Requirement Reminders for Claim Payment
Medicaid and prepaid health plans (PHPs) have identified a trend in claim denials related to taxonomy enrollment and credentialing.