Medicaid Bulletin

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

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NC Medicaid Guidance on Sunsetting of Traumatic Brain Injury Appendix K Flexibilities
Permanent flexibilities approved in the TBI Waiver amendment effective March 1, 2024.
NC Medicaid Guidance on Sunsetting of Innovations Waiver Appendix K Flexibilities
Permanent flexibilities approved in the Innovations Waiver amendment effective March 1, 2024.
NC Managed Care Capitation Rates – Updated Care Management Assumptions for Expansion Population
Includes rate considerations for Medicaid Expansion members effective Dec. 1, 2023.
Over-the-Counter COVID-19 Test for Home Use Pharmacy POS Coverage
CorDx, GoToKnow, FaStep COVID-19 AG Home Tests added to coverage.
Electronic Visit Verification for NC Medicaid-Funded Personal Care Services and Home Health Services
Manual entries and Sandata Mobile Connect 2.0.
Quality of Care Fact Sheets Available
Fact sheets provide key findings, trends, improvements and new programs
Reminder for Home Health Providers: Associations in the Sandata System
How to create an association in Sandata allowing providers to work with their clients
New Exclusion Sanction Questions to be added to Applications for Provider Enrollment
Beginning Jan. 28, 2024, five new additional exclusion sanction questions will be added.
NC Medicaid to Revise the Physician Administered Drug Program (PADP) Fee Schedule
NC Medicaid will update the PADP fee schedule effective Feb. 1, 2024.
Guidance for Private Duty Nursing Providers
How to best serve beneficiaries who have not received nursing services for 30 consecutive days.