Medicaid Bulletin

NC Medicaid is implementing new Managed Care Nursing Facility rates to support nursing facility providers and NC Medicaid members.

Policy updates for NC Medicaid Direct beneficiaries in the Obstetrical Services and Pregnancy Management Program policies, retroactive to Jan. 1.

Milestones, playbook updates, beneficiary assignment file, provider reverification, provider records, provider ombudsman, help center and webinars.

Several code updates are effective April 1, 2023

Providing A Dental Home for Children and Youth with Special Health Care Needs

Approved on Jan. 25, 2023, with an effective date of Dec. 1, 2022

Changes for providers and beneficiaries effective April 1, 2023, when NC Health Choice beneficiaries transition to Medicaid.

The applicable ICD-10-Codes will be retroactive back to Jan. 1, 2023.

Includes Pharmacy Point of Sale, Physician Administered Drug Program and Outpatient Hospital Pharmacy

This billing guidance supplements clinical policies and Medicaid bulletins.