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.
Medicaid Bulletin
Articles published prior to January 2018 are available in the Medicaid Bulletin Archive.
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.
The deadlines stated in this bulletin replace those previously published in the Post-Enrollment National Accreditation Update bulletin April 16, 2026.
Adverse determination letters generated through NCTracks have been updated to reflect these changes.
On Dec. 31, 2026, the NC Integrated Care for Kids (InCK) pilot program will conclude. This applies to NC Medicaid Direct and NC Medicaid Managed Care.
Concurrent Child and Adolescent Day Treatment and Residential Treatment Services remain subject to medical necessity and non-duplication requirements.
A new prior authorization is required for NC Medicaid Managed Care beneficiaries returning to NC Medicaid Direct.