Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

NC Medicaid Respiratory Syncytial Virus (RSV) Guidelines for 2023-2024 - Revised
This bulletin is replaced by Additional NC Medicaid Respiratory Syncytial Virus (RSV) Guidelines for 2023-2024 published on Jan. 24, 2024.
Innovations Waiver Amendment Update
Appendix K flexibilities to continue if waiver amendment is not approved by Nov. 11, 2023
Minimum Data Set (MDS) Section Q Referrals Process Change
Beginning Nov. 6, 2023, Section Q Referrals should be made to Acentra
Maternity Coverage and Service Reimbursement Updates
NC Medicaid is implementing changes due to Session Law 2023-14 and to implement additional clinical best practices for maternity care.
New Procedure Code 99184 for 1A-7 Neonatal and Pediatric Critical and Intensive Care Services
Coverage Effective Nov. 1, 2023.
New Coverage Code for Ambulance Response and Treatment
Effective Nov. 1, 2023, ambulance providers may receive reimbursement from NC Medicaid when they treat and stabilize a beneficiary at the scene.
NC Medicaid Direct Member Reassignment Process
Instructions for providers requesting removal of NC Medicaid Direct members from their patient panel
Chiropractors Added to Providers Not Required to Connect to NC HealthConnex
Regulatory Reform Act in October 2023 Updates regarding the N.C. Health Information Exchange Authority
Legislated Medicaid Provider Rate Increases: Skilled Nursing Facilities (SNF), Personal Care Services (PCS), and Private-Duty Nursing (PDN)
This bulletin provides updates on NC Medicaid programs that received legislative increases to service rates in the Current Operations Appropriations Act of 2023 (SL 2023-134).
Update: Retroactive Disenrollment from NC Medicaid Managed Care
Providers should submit claims for dates of service that now fall in NC Medicaid Direct.