Medicaid Bulletin

The $20 PMPM Medical Home Payments for AMHs serving members eligible for Tailored Care Management will begin in December.

Temporary flexibilities and changes run from Dec. 1, 2022, to March 31, 2023.

NCDHHS will delay the implementation of North Carolina Standard Plan and Tailored Plan Tobacco-Free Policy requirements.

Please post in a prominent location such as patient waiting rooms as soon as possible.

Effective with date of service August 31, 2022, Medicaid and NC Health Choice cover Pfizer-BioNTech COVID-19 Vaccine

All fee schedules currently listed on the NC Medicaid website have been moved to a new Fee Schedule and Covered Code Portal available to the public.

Effective with date of service Aug. 31, 2022, Medicaid and NC Health Choice programs cover Moderna COVID-19 Vaccine

Providers are encouraged to review for an overview of other general language and formatting updates.

Effective Nov. 3, 2022, fee schedules currently listed on the NC Medicaid website will move to a new public fee schedule and covered code website.

Effective Oct. 1, 2022, Pluvicto must be billed with HCPCS code A9607