Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

NC Medicaid Ambassador Initiative Site Launches to Assist Medicaid Applicants
This website includes resources to assist with completing the NC Medicaid application and information about becoming a Medicaid Ambassador.
NC Medicaid Managed Care Provider Update – March 27, 2024
Includes information on Provider Fact Sheets, LME/MCO consolidation, Innovations and TBI waivers, federal fee increase, updates to NCTracks and more.
Tobacco-Related Policy Requirements go into Effect on July 1, 2024
Tobacco-Related Policy Requirements Delayed until July 1, 2025
Policy Updates for Behavioral Health Providers
Clinical Coverage Policy 8A, Enhanced Mental Health and Substance Abuse Services Update
Nursing Equipment and Supplies Policy Updated
An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies promulgated on March 1, 2024, with an effective date of Jan. 1, 2024.
Update Billing Agent and Apply for Hardship Advances Change Healthcare Cyberattack
Additional Provider Flexibilities to Support Providers during Change Healthcare Disruption
Instances where Electronic Visit Verification Claims for NC Medicaid Direct will Deny
Claims that reuse the same visit key for multiple dates of service, MIDs, NPIs or procedure codes will deny.
Waitlist for the NC Medicaid Community Alternatives Program for Disabled Adults Program
Effective Feb. 16, 2024, individuals requesting to receive services may be placed on a waitlist.
Supervision Requirements for Board Certified Behavior Analysts Update
Clarification on the expiration of S.L. 2022-74 Section 9K.3 supervision flexibilities and a new taxonomy for Behavioral Analyst
Reminder: Medical and Routine Eye Exams and Visual Aids are not Covered Under Telehealth
Guidance for ophthalmologists, optometrists and opticians regarding clinical coverage policies for medical and routine eye exams and visual aids.