Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Nicotine Replacement Therapy Protocol Reimbursement Effective Aug. 1, 2024
Usage of the Nicotine Replacement Therapy Protocol is Eligible for Clinical Services Reimbursement to Pharmacies.
Tailored Care Management Options for Transitions to Community Living Medicaid Members
Members may now select to receive Tailored Care Management from a provider with Transition to Community Living Distinction.
Value-Based Payment Update: Making Care Primary (MCP) Model Alignment in NC Medicaid
Feedback Requested on Proposed Approach
Nursing Home Assessment Provider Portal Upgrade
To support the SNF and ICF-IID reporting and collection of provider healthcare assessment data.
Healthy Opportunities Pilot launches for Medicaid Direct Populations
Expanding Pilot Eligibility to Members in NC Medicaid Direct in Pilot Regions
Medicare Enrollment Required for Certain Providers Serving Dually Eligible Beneficiaries
Billing Requirements for Medicaid Direct Providers
Reverification Timeliness and Requirements Clarification
States must revalidate the enrollment of all providers at least every five years to ensure the information on record is accurate and current.
Process Change for NC Medicaid Direct Private Duty Nursing Prior Authorizations
Look for details on training in June related to these changes.
NC Medicaid Long Term Services and Supports to hold Provider Forum
Forum to be held Tuesday, June 25 in Concord.
Behavioral Health Clinical Coverage Policy Updates
Withdrawal Management Policies Delayed