Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Provider guidance for submitting claims to health plans under NC Medicaid Managed Care
NC Medicaid is adding mid-level substance use treatment services to Standard Plans effective October 3.
Includes information on provider recredentialing/reverification, Medicaid expansion and more.
Intended to Support Innovations Waiver Services Direct Care Worker Wage Increases
The federal fee for Medicaid enrollment has increased to $709 for calendar year 2024.
Some services will receive rate increases effective Jan. 1, 2024
Several flexibilities will be available on Dec. 1, 2023, to ease provider burden and ensure Medicaid expansion beneficiaries receive needed care.
In the Feb. 1, 2022, bulletin, incorrect Maximum Allowable Rates were entered in the NC Medicaid Eyeglasses Dispensing Fee Schedule table.
Updates on NC Medicaid programs that received legislative increases to service rates in the Current Operations Appropriations Act of 2023
Starting in November 2023, Standard Plans and Medicaid Direct will reprocess claims without appropriate documentation of required codes.