Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Specialty Care Referrals in NC Medicaid – 2025 Update
Reminder: NC Medicaid does not require Carolina Access/Advanced Medical Home referrals for specialty care.
CSR 2814-Updates to Provider Suspension Process for Division of Mental Health, Developmental Disabilities and Substance Use Services (DMH/DD/SUS) Health Plans Effective June 1, 2025
NCTracks will align the suspension of DMH/DD/SUS health plans during the reverification process.
Carolina ACCESS Enrollment Refresher
Individual provider enrollment and Additional Managed Care Options
NC Medicaid Long Term Care and Services and Supports Forum June 4-5, 2025
Theme: “We’re All in This Together 3.0”
Clinical Coverage Policy Update 1G-2 Skin Substitutes
Effective April 1, 2025: NC Medicaid amended Clinical Coverage Policy 1G-2.
Changes to the Clinical Coverage Policy: 1E-7: Family Planning Services
Policy is updated effective May 1, 2025
Utilizing Managing Relationship (MR) User Role in NCTracks
Option to Create Secondary/Back-up Office Administrators
Upcoming Provider Application Changes
Changes to the NCTracks provider application are coming in 2025.
NC Medicaid Streamlines Process for Clinical Coverage Policy Revision Requests  
NC Medicaid implements a more efficient method for submitting revision requests in active Clinical Coverage Policies.
Cognitive Assessment and Care Plan Service
Effective May 1, 2025, NC Medicaid covers CPT 99483, Cognitive Assessment and Care Plan Service.