Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Detail on continuing, end-dating and revised rates

Upcoming Key Milestones, Playbook Updates, COVID-19 Vaccine Incentive Program, Prior Authorizations, Provider Ombudsman, Help Center, Provider Directory and Health Plan Loop-Up Tool

New legislation extends Medicaid for pregnant Beneficiaries to 12 Months after birth - effective April 1, 2022.

An updated version of Clinical Coverage Policy 5B, Orthotics and Prosthetics with an effective date of Feb. 1, 2022, is posted.

NC Medicaid has released an updated series of provider enrollment training videos, which are required components of the provider enrollment process.

Effective with date of service Dec. 30, 2021, Medicaid and NC Health Choice cover ropeginterferon alfa-2b-njft injection, for subcutaneous use (BESREMI®).

Effective with date of service Dec. 22, 2021, Medicaid and NC Health Choice cover inclisiran injection, for subcutaneous use (Leqvio®).

Effective with date of service Dec. 17, 2021, Medicaid and NC Health Choice cover efgartigimod alfa-fcab injection, for intravenous use (VYVGART™).

Follow-Up information after Office Hours and provider questions

Submission deadline extended from Feb. 4 to Feb. 11, 2022