Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Clinical Coverage Policy 8A, Enhanced Mental Health and Substance Abuse Services Update

An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies promulgated on March 1, 2024, with an effective date of Jan. 1, 2024.

Additional Provider Flexibilities to Support Providers during Change Healthcare Disruption

Claims that reuse the same visit key for multiple dates of service, MIDs, NPIs or procedure codes will deny.

Effective Feb. 16, 2024, individuals requesting to receive services may be placed on a waitlist.

Clarification on the expiration of S.L. 2022-74 Section 9K.3 supervision flexibilities and a new taxonomy for Behavioral Analyst

Guidance for ophthalmologists, optometrists and opticians regarding clinical coverage policies for medical and routine eye exams and visual aids.

Effective with date of service Jan. 16, 2024, NC Medicaid covers benzathine benzylpenicillin (Extencilline)

This rate increase in the latest Physician Administered Drug Program fee schedule supports treating Medicaid members for Congenital Syphilis.

Fee schedule rate corrected on Feb. 5, 2024.