Coverage for single booster dose
Medicaid Bulletin
Medicaid Bulletin Monthly Digest
Articles beginning January 2018 are available in the blog format.
Effective Sept. 1, 2022, codes submitted without modifier LT (left), or RT (right) will be denied
NC Medicaid Direct PA effective begin and end dates will be modified to align with the individual’s eligibility segment.
A new PA is required for beneficiaries returning to NC Medicaid Direct.
EPSDT Prior Authorization Available July 1, 2022
New billable codes available Sept.1 to address social drivers of health
Prior to submitting an application for Advanced Medical Home/Care Management Agency Certification, please download and utilize the Provider Directory Listing Report.
An updated version of the policy with an amendment date of May 15, 2022, is posted.
Beginning Jan. 1, 2023, substantive portion means more than half of the total time spent by the physician and NPP performing the shared/split visit
Three claims processing edits to end with Public Health Emergency