Medicaid Bulletin

Articles published prior to January 2018 are available in the Medicaid Bulletin Archive.

Select date range
Legislated Medicaid Provider Rate Increases: Skilled Nursing Facilities (SNF), Personal Care Services (PCS), and Private-Duty Nursing (PDN)
This bulletin provides updates on NC Medicaid programs that received legislative increases to service rates in the Current Operations Appropriations Act of 2023 (SL 2023-134).
Update: Retroactive Disenrollment from NC Medicaid Managed Care
Providers should submit claims for dates of service that now fall in NC Medicaid Direct.
SPECIAL BULLETIN COVID-19 #270: Clinical Policy Flexibilities Ending on Nov. 11, 2023
This bulletin contains information on flexibilities that are ending six months after the end of the Federal Public Health Emergency on Nov. 11, 2023.
NC Medicaid to Remove Copays for HIV Antiretroviral Medications
Effective Nov. 1, 2023, NC Medicaid will remove all copay requirements for antiretroviral medications which decrease viral load in patients with HIV.
Functional Magnetic Resonance Imaging Covered
Effective Sept. 1, 2023, NC Medicaid will cover functional magnetic resonance imaging (fMRI).
Child Medical Evaluation Checklist Updated
Use the latest form when submitting to the NC Medicaid fiscal agent
NC Medicaid Respiratory Syncytial Virus (RSV) Guidelines for 2023-2024
This bulletin is replaced by NC Medicaid Respiratory Syncytial Virus (RSV) Guidelines for 2023-2024 - Revised
Medicaid Expansion Website, Toolkit and Sign-up Form Available
Resources include flyers, presentations, social media posts to share and more.
New NC Medicaid Dashboard - Innovations Waiver Waitlist
The dashboard represents individuals on the Innovations Waiver waitlist by county and LME/MCO.
NC Medicaid Managed Care Provider Update – Oct. 2, 2023
Includes provider recredentialing/reverification, Medicaid expansion, Tailored Plan implementation and more.