The NC Medicaid Community Alternatives Program for Disabled Adults (CAP/DA) §1915(c) Home and Community-Based Services (HCBS) expires Oct. 31, 2024. NC Medicaid is seeking to renew the waiver for another five years.
Medicaid Bulletin
Articles published prior to January 2018 are available in the Medicaid Bulletin Archive.
Clarification to recent policy and billing questions
Updates for providers on 1915(b)(3) services ending, new 1915(i) assessment tool and 1915(i) reassessments.
Information to share with beneficiaries to increase participation
Hardship advances may be available for those at risk of not meeting financial obligations
Effective Sept. 1, 2024, NC Medicaid will begin covering condoms and spermicides as over-the-counter products, through the pharmacy benefit.
GDIT will no longer request supplemental information for undisclosed items discovered during the credentialing and background check process.
Effective Sept. 1, 2024, hospital OST claims submitted to NCTracks must include the individual OPR NPI.
Effective July 30, 2024, NC Medicaid temporarily paused coverage of HCPCS code A0998 (Ambulance response and treatment, no transport).
Describes findings from the third assessment of provider experience and satisfaction with the NC Medicaid program.