Effective July 1, 2026, NC Medicaid launched a targeted expansion of School-Based Services by Local Education Agencies.
Medicaid Bulletin
Articles published prior to January 2018 are available in the Medicaid Bulletin Archive.
Revisions to areas include definitions, eligibility and coverage criteria, specific criteria covered, transition and discharge planning and more.
Appointment dates and times will no longer be scheduled for provider site visits
Providers should take advantage of the 70-day timeframe given to ensure completion without adverse action.
NC Medicaid Managed Care Incremental Innovations Waiver DCW Rate Increases effective October 1, 2026, retroactive to July 1, 2026.
The Centers for Medicare & Medicaid Services released the 2027 ICD-10 code list, Effective Oct. 1, 2026.
Including a behavioral health post-enrollment accreditation update, recent provider communications and more.
NC Medicaid has contracted with Health Management Systems to conduct Overpayment Recovery Reviews for Medicaid beneficiaries.
NC Medicaid Launching New Services for Eligible Justice-Involved Youth under CAA 5121 in all Youth Development Centers.
Updating the date format requirement for Hospital UR Plan submission.