Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Eligible direct care workers to receive wage increase from eligible HCBS providers
Jan. 28, 2022. Updated to include per diem rate increase and changes to the for submission of baseline wage data requirement regarding eligible direct care worker wage increase from eligible ICF-IID providers.
Eligible direct care workers to receive one-time bonus from eligible providers
FDA has expanded the use of single booster dose to include ages 12-15.

Effective Jan 9, 2022, NCTracks will no longer require Medicaid and NC Health Choice providers to pay the $100 NC application fee with enrollment and reverification applications.

Since the launch of NC Medicaid Managed Care on July 1, 2021, providers have submitted claims to the prepaid health plans (PHPs) for services provided to beneficiaries who are enrolled with that PHP.

Reinstatement of temporary suspension of prior authorization for inpatient rehabilitation hospital and long-term care hospital admissions under NC Medicaid Managed Care.
Providers should bill with Revenue Code 0771 instead of Revenue Code 0261 on future claims for the vaccine and monoclonal antibody administration services.
Fact sheets that address questions related to the Standard Plan disenrollment process for children in foster care are now available.