Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

ICD-10 Update Effective Oct. 1, 2025
The Centers for Medicare & Medicaid Services (CMS) released the 2026 ICD-10 code list effective Oct. 1, 2025.
Quarterly Provider Update – Fall 2025
Information on Credentialing Committee, Children and Families Specialty Plan (CFSP) and Upcoming Application Changes.
Managed Care Electronic Visit Verification Home Health Implementation: Hard Launch Effective Oct. 1, 2025
NC Medicaid’s Electronic Visit Verification (EVV) system for Home Health ensures compliance with federal requirements.
NC Medicaid to Change Coverage for GLP-1 Weight Management Medications
Effective Oct. 1, 2025, NC Medicaid coverage for GLP-1s for the treatment of obesity will be discontinued.
Implementation of Delegated Enrollment and Credentialing Placed on Hold
Implementation of the initiative is paused until further notice.
Rendering, Attending, Ordering or Referring Provider Information Required on Claims for NC Medicaid Managed Care
This bulletin applies to all NC Medicaid Managed Care providers.
Important Update on Tailored Plan & Prepaid Inpatient Health Plan Dually-Eligible Beneficiary Medicare Crossover Claims
NC Medicaid is now routing dual-eligible beneficiary Professional and Institutional Medicare Crossover claims to the designated NC Medicaid Managed Care payor.
Updated Sterilization Consent Form
The sterilization consent form on the U.S. Department of Health and Human Services website has been updated.
NC Medicaid Temporary Flexibilities Due to Hurricane Erin
Flexibilities effective Aug. 19, 2025, for NC Medicaid beneficiaries due to Hurricane Erin
NC Medicaid to Cover Imported Benzathine Benzylpenicillin (Extencilline®) and Benzathine Benzylpenicillin Tetrahydrate (Lentocilin): Billing Guidelines
Effective with date of service Aug. 1, 2025, NC Medicaid covers benzathine benzylpenicillin (Extencilline®) and benzathine benzylpenicillin tetrahydrate (Lentocilin).