Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

2024 HCBS CAHPS Survey Toolkit Available
Information to share with beneficiaries to increase participation
REMINDER: Expedited Hardship Advances Available for Managed Care Providers
Hardship advances may be available for those at risk of not meeting financial obligations
Medicaid to Cover Condoms and Spermicides Over-the Counter
Effective Sept. 1, 2024, NC Medicaid will begin covering condoms and spermicides as over-the-counter products, through the pharmacy benefit.
Refresher: Be Sure to Disclose on Provider Application Exclusion Sanction Questions
GDIT will no longer request supplemental information for undisclosed items discovered during the credentialing and background check process.
Ordering, Prescribing, or Referring (OPR) Provider Requirements for Hospital Outpatient Specialized Therapies (OST) Claims
Effective Sept. 1, 2024, hospital OST claims submitted to NCTracks must include the individual OPR NPI.
Ambulance Response and Treatment Coverage Code Temporarily Paused
Effective July 30, 2024, NC Medicaid temporarily paused coverage of HCPCS code A0998 (Ambulance response and treatment, no transport).
2023 Medicaid Provider Experience Survey Report Released
Describes findings from the third assessment of provider experience and satisfaction with the NC Medicaid program.
OTC COVID-19 Test for Home Use Pharmacy POS Coverage
Two FASTEP COVID 19 AG HOME TEST NDCs added to coverage.
NC Medicaid Temporary Flexibilities Due to Tropical Storm Debby
Flexibilities effective Aug. 6, 2024, for NC Medicaid beneficiaries due to Tropical Storm Debby.
NC Medicaid to Remove Copays for Drugs used to treat Opioid Use Disorder and Nicotine Replacement Therapy
Changes are effective Aug. 1, 2024