Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Optum has been awarded a contract to implement the solution, scheduled to launch in 2024.

Implementation of Tailored Plans Start Date Oct. 1, 2023

Effective Jan. 9, 2023, Medicaid and NC Health Choice cover mosunetuzumab-axgb injection, for intravenous use (Lunsumio).

Effective Dec. 7, 2022, Medicaid and NC Health Choice cover bendamustine hydrochloride injection, for intravenous use (Vivimusta).

Summary of updates to Clinical Coverage Policy 5A-3 with an effective date of Feb. 1, 2023.

NC Medicaid reimburses qualified providers for medically necessary circumcision for newborns and non-newborns.

Effective March 1, 2023, through June 30, 2023, NC Medicaid is implementing a temporary rate increase of 40%.

This companion guide is designed to create uniformity in the completion of the Patient Risk List. 

On March 1, 2023, Beacon Health Options is changing their name to Carelon Behavioral Health.

Effective Feb. 1, 2022, NC Medicaid increased the Intermediate Care Facilities for Individuals with Intellectual Disabilities provider assessment.