Effective Aug. 1, 2026, the Division of Health Benefits (DHB) is applying an 18% increase to the current rates for all applicable Personal Care Services (PCS) procedure codes designated by DHB.
Medicaid Bulletin
Articles published prior to January 2018 are available in the Medicaid Bulletin Archive.
NC Medicaid, in collaboration with the four NC Medicaid Managed Care Standard Plans, will host the Sixth Annual Virtual Statewide Quality Forum on Wednesday, Oct. 14, 2026, from 11 a.m. to 1 p.m.
The updated fax number is effective as of July 15, 2026. This bulletin applies to NC Medicaid Direct.
For eligible individuals, NC Medicaid will now pay for Family Planning services in addition to Medicare premiums and cost sharing.
This bulletin applies to all research-based behavioral health treatment providers in NC Medicaid Managed Care and NC Medicaid Direct.
Amendments to Clinical Coverage Policy 1A-20, expanding medical necessity criteria and updating coverage for sleep studies and polysomnography services are effective July 1, 2026.
Care Management rate considerations effective July 1, 2026.
Impacted NC Medicaid providers will be included in the Active Provider Reverification Report, and notifications with specific deadlines are expected by the end of September 2026.
Beginning Jan. 1, 2027, all current maternity service codes, including global billing, will be deleted from the fee schedule.
Effective July 1, 2026, NC Medicaid has amended Clinical Coverage Policy 10A, Outpatient Specialized Therapy Services.