Medicaid Bulletin

Clinical Policy 1E-3, Sterilization Procedures - Sterilization Consent Form

Tuesday, November 24, 2020

Updates on the consent form expiration date and clarifications related to the Aug. 15, 2020 policy update.

Notice of Advanced Medical Home (AMH) Policy Changes Memo

Friday, November 20, 2020

The Department is releasing a Notice of AMH Policy Changes requiring modifications to Advanced Medical Home Provider Contract Templates memo.

SPECIAL BULLETIN COVID-19 #143: CAP/C and CAP/DA Home- and Community-Based Services Flexibilities Update for Beneficiaries Enrolled in 1915(c) Waivers

Thursday, November 19, 2020

This Bulletin replaces SPECIAL BULLETIN COVID-19 #22 in its entirety. NC Medicaid has updated its emergency planning document called an Appendix K to expand its flexibilities on how Medicaid providers and beneficiaries may access and receive home- and community-based services (HCBS) through the CAP waivers in the wake of COVID-19, previously referenced in SPECIAL BULLETIN COVID-19 #22.

Provider and Health Plan Contract Deadlines for Inclusion in Open Enrollment and Auto-Enrollment

Thursday, November 19, 2020

For inclusion in open enrollment and auto-enrollment, provider contracts must be signed and mailed to health plan by the following dates.

SPECIAL BULLETIN COVID-19 #143: CAP/C and CAP/DA Home and Community-Based Services Flexibilities Update for Beneficiaries Enrolled in 1915(c) Waivers

Wednesday, November 18, 2020

This Bulletin replaces SPECIAL BULLETIN COVID-19 #22 in its entirety. NC Medicaid has updated its emergency planning document called an Appendix K to expand its flexibilities on how Medicaid providers and beneficiaries may access and receive home- and community-based services (HCBS) through the CAP waivers in the wake of COVID-19, previously referenced in SPECIAL BULLETIN COVID-19 #22. Updates to the previous Bulletin are noted.

Medicaid Managed Care Provider Update

Tuesday, November 17, 2020

Key dates, webinar series, Provider Directory tool, Provider Ombudsman and PHP manuals updated.

Legislation Gives Certain Providers More Time to Connect to NC HealthConnex

Tuesday, November 17, 2020

This bulletin provides important information regarding changes in the law concerning connection deadlines to NC HealthConnex, the state-designated health information exchange. It also describes a “Hardship Extension Process” coordinated by DHHS.  

Advanced Medical Home Webinar Series Begins December 10

Monday, November 16, 2020

A new Medicaid Managed Care webinar series on the Advanced Medical Home (AMH) program will begin Dec. 10, 2020. 

SPECIAL BULLETIN COVID-19 #142: REMINDER – Reimbursement for COVID-19-Related Primary Care Services for Uninsured Individuals Living in NC

Tuesday, November 10, 2020

Following the Oct. 30, 2020, announcement that the NCTracks secure portal is live, providers are encouraged to submit qualifying COVID-19 related primary care services claims for reimbursement through the NCTracks secure portal.  

SPECIAL BULLETIN COVID-19 #141: Reminder of Requirement to Report Antigen Test Results

Tuesday, November 10, 2020

For facilities using a point-of-care antigen test device for detection of SARS-CoV-2, this is a reminder that providers are required by State Health Director Order to report all results, positive and negative, of diagnostic testing for SARS-CoV-2, the virus that causes COVID-19. 

Subscribe to Medicaid Bulletins Updates

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Associated Files