Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Effective with date of service Feb. 23, 2023, Medicaid and NC Health Choice cover bendamustine hydrochloride injection, for intravenous use (Apotex).

Effective with date of service March 7, 2023, NC Medicaid and NC Health Choice programs cover aprepitant injectable emulsion.

Fact sheets covering Provider payment, reimbursement, claims submissions and prior authorization have been recently published on the NC Medicaid website.

Update includes provider verification, billing requirement modifications; Tailored Plan implementation, upcoming key milestones, playbook updates and more.

Effective July 1, 2023, the visit record must match the claim submitted to NCTracks. This bulletin provides additional information and resources.

Effective Jan. 1, 2023, the minimum age was adjusted from 50 years to 45 years.

The review must be performed before anyone can be admitted to a Medicaid-Certified nursing facility.

FDA approvals of these drugs were withdrawn.

Effective with date of service Jan. 1, 2023, the following new CPT codes as separately reimbursable in the ambulatory surgery setting

The federal COVID-19 Public Health Emergency (PHE) ends today, May 11, 2023. This bulletin contains information on the reverification process.