Medicaid Bulletin

Reinstatement of temporary suspension of prior authorization for inpatient rehabilitation hospital and long-term care hospital admissions under NC Medicaid Managed Care.

Emergency use of Evusheld approved by FDA

Providers should bill with Revenue Code 0771 instead of Revenue Code 0261 on future claims for the vaccine and monoclonal antibody administration services.

Fact sheets that address questions related to the Standard Plan disenrollment process for children in foster care are now available.

On Dec. 20, 2021, the Department announced that the Healthy Opportunities Pilot will shift the start of Pilot service delivery from Feb. 1, 2022 to March 15, 2022. The Department will now take a phased approach to launching Healthy Opportunities Pilot services in all three Pilot regions.

Reimbursement for COVID-19 Specimen Collection

New CPT codes for effective date of service Jan. 1, 2022

DME/POS providers may issue medically necessary equipment & supplies

Effective with date of service Nov 1, 2021, Medicaid and NC Health Choice programs cover pneumococcal 15-valent conjugate vaccine suspension for intramuscular injection (Vaxneuvance™).

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