Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

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.
Adding Coverage of CPT Code 0421U – ColoSense Multi-Target Stool RNA-Based Colorectal Cancer Screening
Effective May 1, 2025, NC Medicaid will provide coverage for CPT Code 0421U – ColoSense, a multi-target stool RNA-based colorectal cancer screening test.
Provider Credentialing Committee Coming Soon
Committee to make final decisions on submitted applications, quality determinations and compliance with regulatory requirements.
An Update on the Population Health Approach Guiding NC Medicaid
Public Comments Requested by May 30, 2025.
Categorical Risk Level Assignment Changes for Certain NC Medicaid Providers
Providers should be aware of recent changes for Skilled Nursing Facilities, Hospice Organizations, and Portable X-ray Suppliers taxonomies.
Updates on Multi-Factor Authentication for Sandata Electronic Visit Verification System Access
NC Medicaid’s Electronic Visit Verification (EVV) vendor, Sandata, will implement multi-factor authentication process for those accessing Sandata EVV and the Aggregator portals.