Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Effective with date of service, Dec. 21, 2022, the NC Medicaid and NC Health Choice programs cover piflufolastat F18 injection

Register now for the diabetes self-management presentation on May 11 and adolescent immunization on May 16.

Behavioral health prior authorizations effective April 1, 2023

Implementation of Tailored Plans, playbook update, Provider reverification, NC Health Choice move to Medicaid, NCTracks Provider records and more.

Lantus® SoloStar® / Vial will move to preferred on the NC Medicaid Preferred Drug List, effective March 24, 2023.

Rate increases continuing and effects on managed care plans and contracted providers

Providers for whom reverification was delayed are being organized into groups to ensure reverification is completed timely. 

Tobacco-related policy requirements go into effect on April 1, 2024.

Updated information about the assumptions underlying the care management component of capitation payments to Standard Plans

As of April 1, 2023, all NC Health Choice beneficiaries with active eligibility will be moved to Medicaid.