Medicaid Bulletin

Effective with date of service Dec. 1, 2021, Medicaid and NC Health Choice cover ranibizumab injection for intravitreal use via ocular implant.

Effective with the date of service Jan. 1, 2022, CMS has added new HCPCS codes, deleted others and changed the description of some existing codes.

Provides an overview of the Department’s plans for promoting high-quality care through managed care and provides specific details to the measurement for the goals and objectives of the Department’s Quality Strategy.

Medicaid requires claims for CPT code 68761 be billed with one of four modifiers.

Certain immunocompromised children will qualify for third dose of Pfizer-BioN Tech Vaccine

Oral tablets covered for those in a home setting

Additional information to what was published in COVID-19 #210

Eligible direct care workers to receive wage increase from eligible HCBS providers

Jan. 28, 2022. Updated to include per diem rate increase and changes to the for submission of baseline wage data requirement regarding eligible direct care worker wage increase from eligible ICF-IID providers.

Eligible direct care workers to receive one-time bonus from eligible providers