Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

EPSDT Prior Authorization Available July 1, 2022

New billable codes available Sept.1 to address social drivers of health

Prior to submitting an application for Advanced Medical Home/Care Management Agency Certification, please download and utilize the Provider Directory Listing Report.

An updated version of the policy with an amendment date of May 15, 2022, is posted.

Beginning Jan. 1, 2023, substantive portion means more than half of the total time spent by the physician and NPP performing the shared/split visit

Three claims processing edits to end with Public Health Emergency

Medicaid and NC Health Choice programs covers lutetium Lu 177 vipivotide tetraxetan injection

Medicaid and NC Health Choice cover kit for the preparation of gallium Ga 68 gozetotide injection

the Medicaid and NC Health Choice cover kit for the preparation of gallium Ga 68 dotatate injection

Medicaid and NC Health Choice cover gadoterate meglumine injection