Medicaid Bulletin

This document provides guidance on what capacity building funds can be used for as well as the timeframes for use of the funds.

Note: This bulletin is replaced by NC Health Choice Move to Medicaid: Timeline for Claims Adjudication and Process for Prior Approvals.

NC Medicaid is implementing new Managed Care Nursing Facility rates to support nursing facility providers and NC Medicaid members.

Policy updates for NC Medicaid Direct beneficiaries in the Obstetrical Services and Pregnancy Management Program policies, retroactive to Jan. 1.

Milestones, playbook updates, beneficiary assignment file, provider reverification, provider records, provider ombudsman, help center and webinars.

Several code updates are effective April 1, 2023

Providing A Dental Home for Children and Youth with Special Health Care Needs

Approved on Jan. 25, 2023, with an effective date of Dec. 1, 2022

Changes for providers and beneficiaries effective April 1, 2023, when NC Health Choice beneficiaries transition to Medicaid.

The applicable ICD-10-Codes will be retroactive back to Jan. 1, 2023.