Medicaid Bulletin

This bulletin provides updates on NC Medicaid’s Skilled Nursing Facility (SNF) reimbursement program.

All providers who have not yet connected are encouraged to sign a Participation Agreement and participate in the onboarding process.

Includes flexibilities related to Tailored Plans and Healthy Opportunities Pilots

Provides information for providers of beneficiaries enrolled in NC Medicaid Direct and NC Medicaid Managed Care

Clinical Coverage Pharmacy Policy 9 will allow for donation of abandoned Long-Acting Injectable Antipsychotics to a registered Drug Repository Program

This patient experience survey serves as a national standard for measuring and reporting respondents’ experiences with their health care.

With state budget negotiations ongoing, NCDHHS has worked with CMS to negotiate a compromise to begin submitting documents needed for federal approval to launch Medicaid expansion on October 1, 2023.

NC Medicaid is continuing the extension of the temporary/interim estimated legislative rate increases.

Includes provider recredentialing/reverification, billing requirement modifications, Tailored Plan implementation, upcoming key milestones, playbook updates and more.

All Home Health Care providers are expected to be fully compliant with requirements on Oct. 1, 2023.