Medicaid Bulletin

Billing Guideline for use of Evusheld

Approved for beneficiaries over the age of 21, effective July 1, 2021

With the end of the federal Public Health Emergency (PHE) expected in the Summer of 2022, NC Medicaid providers will begin receiving reverification notices.

The Medicaid NCCI edits for the most recent quarter are published on the CMS website.

NC Medicaid received approval to increase NC Innovations Waiver capacity by 1,000 slots.

Effective with date of service Feb. 25, 2022, the Medicaid and NC Health Choice programs cover tebentafusp-tebn injection.

Effective with date of service Feb. 23, 2022, the Medicaid and NC Health Choice programs cover sirolimus protein-bound particles for injectable suspension (albumin-bound).

Effective with date of service March 2, 2022, the Medicaid and NC Health Choice programs cover plasminogen, human-tvmh lyophilized powder for reconstitution.

Effective with date of service March 15, 2022, the Medicaid and NC Health Choice programs cover naloxone hydrochloride injection for intramuscular or subcutaneous use.

EVV for Home Health in January 2023