Medicaid Bulletin

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

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Pharmacy Benefits Administrator Provider Webinars and Contact Information
This bulletin updates the previously published NC Medicaid Direct Pharmacy Benefits Administrator Provider Transition Overview and Webinars bulletin.
Reminders About Required Provider Disclosures Including Expungements
NC Medicaid providers must accurately answer all Exclusion Sanction questions.
2026 Provider Experience Survey Open from March through May
Evaluates the influence of NC Medicaid Transformation on primary care and obstetrics/gynecology practices that contract with NC Medicaid.
NC Medicaid Direct Pharmacy Benefits Administrator Provider Transition Overview and Webinars
The North Carolina Department of Health and Human Services (NCDHHS) reminds pharmacy providers that Prime Therapeutics State Government Solutions LLC (Prime Therapeutics) will serve as the Pharmacy Benefits Administrator (PBA) for NC Medicaid Direct point-of-sale (POS) pharmacy benefits beginning May 2, 2026.
Tobacco-free Campus Policy Requirements Delayed Indefinitely
The Department is no longer requiring compliance with Tobacco-free Campus Policy Requirements by Jan. 1, 2027.
Request for Applications: North Carolina Child Welfare Trauma-Informed Assessment
Applications must be submitted no later than March 22, 2026, at 11:59 p.m.
Providers: Risks of Not Accurately Reporting on Your NCTracks Provider Record
An out-of-date NCTracks provider record jeopardizes continued NCDHHS program participation.
Behavioral Health National Accreditation Requirements Provider Update
For NC Medicaid and Division of Mental Health, Developmental Disabilities, and Substance Use Services (DMHDDSUS) State Funded Behavioral Health Providers.
Transition of Pharmacy Benefit Administrator for NC Medicaid Direct

NOTE: This change applies only to NC Medicaid Direct beneficiaries. There is no impact to beneficiaries enrolled in NC Medicaid Managed Care.

Updates to NC Medicaid Temporary Flexibilities Due to Additional Winter Storm
Flexibilities extended through Feb. 6, 2026, for NC Medicaid beneficiaries due to additional Winter Storm weather.