Medicaid Bulletin

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

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Update on PASRR Level II Processing Transition to Acentra Health
Mitigation process for any adverse impact for nursing facilities if a PASRR authorization is delayed.
Proposed Changes to Private Duty Nursing Services Clinical Policy
Near Relatives and Legally Responsible Persons May Deliver Skilled Nursing Service to a PDN-eligible Beneficiary.
Medicaid Expansion will go-live on December 1, 2023
More than 600,000 people will gain access to quality care.
Transition Dates Announced for NC Medicaid’s Comprehensive Independent Assessment Entity
NC Medicaid Direct programs will transition to NCLIFTSS by Oct. 6, 2023
REMINDER: Electronic Visit Verification (EVV) Home Health Implementation Hard Launch Effective Oct. 1, 2023
Claims without the required EVV data will be denied.
ICD-10 Annual Update Reminder
The 2024 ICD-10 update is effective Oct. 1, 2023 through Sept. 30, 2024.
ALERT: Provider Assessment Payment Phishing Attempt
Nursing Facility Providers and Intermediate Care Facilities for Individuals with Intellectual Disabilities Targeted.
Provider Reverification Reminders
Avoiding Delays and Issues with Your Reverification Application.
OTC COVID-19 Test for Home Use Pharmacy POS Coverage

COVID-19 OTC Tests for home use are covered for full Medicaid enrollees through Sept. 30, 2024.  

NC Managed Care Capitation Rates – Updated Care Management Assumptions

The North Carolina Department of Health and Human Services (the Department) is releasing updated information about the assumptions underlying the care management component of capitation payments to NC Medicaid Managed Care Prepaid Health Plan (PHPs) Standard Plans.