Categorical Risk Level Subject to Bump-Up for Certain Providers.
Medicaid Bulletin
Articles published prior to January 2018 are available in the Medicaid Bulletin Archive.
This bulletin replaces in full the December 2025 Utilization Management by Managed Care Plans Aligned with Food and Drug Administration Labeling bulletin.
The revised NC Medicaid 1915(i) assessment must be used starting Oct. 1, 2026, and includes a new companion guide.
Effective July 24, 2026, Basaglar® U-100 KwikPen® moved to Preferred status due to reported shortage of Lantus SoloStar pen.
Reminders for NC Medicaid Managed Care, NC Medicaid Direct and Medicare.
This bulletin reflects revised effective dates and applies to all research‑based behavioral health treatment providers in NC Medicaid Managed Care and NC Medicaid Direct.
This Medicaid bulletin replaces in full the July 31, 2026, Rate Increase for Personal Care Services and the Community Alternatives Program bulletin.
This Medicaid Bulletin has been completely replaced by an updated version published on Aug. 4, 2026. Please see the Updates to Rate Increase for Personal Care Services and the Community Alternatives Program bulletin, for the latest information.
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.