Medicaid Bulletin

Articles published prior to January 2018 are available in the Medicaid Bulletin Archive.

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New Clinical Coverage Policy for Cell & Gene Therapies
Effective Jan. 1, 2025, NC Medicaid will cover U.S. Food & Drug Administration approved cell and gene therapies
2025 CPT Code Update
Effective with date of service Jan. 1, 2025, new CPT codes have been added, some end-dated, and descriptions of some existing codes have been updated
Hurricane Helene Policy Flexibilities to Support Providers and Members – Dec. 12, 2024
This bulletin has updated end dates & additional flexibilities for Behavioral Health, Care Management, Innovations, and Long-Term Services & Supports.
Federal Regulation Guidelines for Ordering, Prescribing or Referring Providers
This is an update to the September 2016 Medicaid Ordering, Prescribing or Referring Special Bulletin.
Quality Strategy Available for Public Comment
Comments accepted through Jan. 6, 2024.
Out-of-State Enrolled Pharmacies List Now Posted & Updated Daily on NCTracks

This bulletin applies to NC Medicaid Direct and NC Medicaid Managed Care. 

Federal Provider Enrollment Application Fee Increase for Year 2025
The federal fee for Medicaid enrollment has increased to $730 for calendar year 2025.
Corrections to CPT Code Update Bulletin Effective Jan. 1, 2024

This bulletin applies to NC Medicaid Direct.

Tailored Care Management Temporary Rate Extension
NC Medicaid will continue the current Tailored Care Management temporary payment rate of $343.97 statewide through June 30, 2025.
NC Medicaid Managed Care Provider Update – November 27, 2024
Includes information on Change of Ownership Requirement, Upcoming Webinars, and more.