Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Free Dental Continuing Education Opportunity
Providing A Dental Home for Children and Youth with Special Health Care Needs
UPDATE: Changes to Pharmacy Professional Dispensing Fee and 340B Long-Acting Reversible Contraception
Approved on Jan. 25, 2023, with an effective date of Dec. 1, 2022
Cost-Sharing Implications of NC Health Choice Move to Medicaid
Changes for providers and beneficiaries effective April 1, 2023, when NC Health Choice beneficiaries transition to Medicaid.
Changes to the 1E-7 Family Planning Services Policy
The applicable ICD-10-Codes will be retroactive back to Jan. 1, 2023.
Pharmacy Coverage Reminders
Includes Pharmacy Point of Sale, Physician Administered Drug Program and Outpatient Hospital Pharmacy
Managed Care Billing Guidance for Health Plans Posted
This billing guidance supplements clinical policies and Medicaid bulletins.
NC Medicaid Electronic Visit Verification Revised Implementation Dates to Align with Transition of 1915(b) benefits to 1915(i) Authority
Revised EVV for Home Health Services implementation dates for NC Medicaid Direct, Standard Plans and Tailored Plans.
Lantus/Insulin Glargine Change on NC Medicaid Preferred Drug List
The insulin glargine vial and insulin glargine Solostar® will be added as Preferred on the NC Medicaid Preferred Drug List, effective Jan. 27, 2023.
Community Alternatives Program for Children Waiver Renewal
Proposed CAP/C Waiver renewal application submitted to CMS for review and approval
Payment Detail: Enhanced Medical Home Payments for Advanced Medical Homes Serving Members Eligible for Tailored Care Management
This bulletin replaces the Nov. 16, 2022, bulletin.