Medicaid Bulletin

Articles published prior to January 2018 are available in the Medicaid Bulletin Archive.

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Behavioral Health Clinical Coverage Policy Updates
Withdrawal Management Policies Promulgate
Financial Support Available for Providers Impacted by Hurricane Helene

NC Medicaid and the health plans are committed to supporting providers impacted by the devastating effects of Hurricane Helene. The following financial supports may be available to providers, even if they are unable to submit claims or perform services:

Reminder to Providers on Hurricane Helene Approved Waivers for North Carolina
This is a reminder for providers related to the waivers the Centers for Medicare and Medicaid Services (CMS) approved for North Carolina.
Submit Family Planning Medicaid Annual or Comprehensive Preventive Examinations as Soon as Possible
Timely submissions help reduce claim denials and payment delays.
NC Medicaid Managed Care Provider Update – October 3, 2024
Includes information on the Provider Ombudsman, NC Medicaid Webinars, Newly Effective Changes to Service Location Management, and more. 
Federal Fiscal Year 2025 Hospice Core-Based Statistical Area Updates
Updates based on the implementation of new Office of Management and Budget labor market delineations published August 6.
Assessment Fee Adjustment for Skilled Nursing Facility Providers
Effective Oct. 1, 2024, NC Medicaid decreased the provider assessment rates
Assessment Fee Adjustment for Intermediate Care Facilities for Individuals with Intellectual Disabilities
Effective Oct. 1, 2024, NC Medicaid decreased the Intermediate Care Facilities for Individuals with Intellectual Disabilities provider assessment
Genetic Testing Policy Updates
Effective Oct. 1, 2024, genetic testing policies have been revised.
Update on NC Medicaid Temporary Flexibilities Due to Hurricane Helene – October 1, 2024
This is an update to a bulletin published on Sept. 26, 2024, regarding flexibilities related to Hurricane Helene for NC Medicaid beneficiaries.