Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Update: TBI Waiver 1915 (c) and Appendix K Flexibilities

Amended waiver submitted to the Centers for Medicare and Medicaid Services

Update: Innovations 1915(c) and Appendix K Flexibilities

Amended waiver submitted to the Centers for Medicare and Medicaid Services.

NC Medicaid Respiratory Syncytial Virus (RSV) Guidelines for 2023-2024 - Revised

This bulletin is replaced by Additional NC Medicaid Respiratory Syncytial Virus (RSV) Guidelines for 2023-2024 published on Jan. 24, 2024.

Innovations Waiver Amendment Update

Appendix K flexibilities to continue if waiver amendment is not approved by Nov. 11, 2023

Minimum Data Set (MDS) Section Q Referrals Process Change

Beginning Nov. 6, 2023, Section Q Referrals should be made to Acentra

Maternity Coverage and Service Reimbursement Updates

NC Medicaid is implementing changes due to Session Law 2023-14 and to implement additional clinical best practices for maternity care.

New Procedure Code 99184 for 1A-7 Neonatal and Pediatric Critical and Intensive Care Services

Coverage Effective Nov. 1, 2023.

New Coverage Code for Ambulance Response and Treatment

Effective Nov. 1, 2023, ambulance providers may receive reimbursement from NC Medicaid when they treat and stabilize a beneficiary at the scene.

NC Medicaid Direct Member Reassignment Process

Instructions for providers requesting removal of NC Medicaid Direct members from their patient panel

Chiropractors Added to Providers Not Required to Connect to NC HealthConnex

Regulatory Reform Act in October 2023 Updates regarding the N.C. Health Information Exchange Authority