Includes information on Provider Fact Sheets, LME/MCO consolidation, Innovations and TBI waivers, federal fee increase, updates to NCTracks and more.
Medicaid Bulletin
Medicaid Bulletin Monthly Digest
Articles beginning January 2018 are available in the blog format.
Impacts NC Medicaid Managed Care Standard Plans, Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans and LME/MCOs.
Clinical Coverage Policy 8A, Enhanced Mental Health and Substance Abuse Services Update
An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies promulgated on March 1, 2024, with an effective date of Jan. 1, 2024.
Additional Provider Flexibilities to Support Providers during Change Healthcare Disruption
Claims that reuse the same visit key for multiple dates of service, MIDs, NPIs or procedure codes will deny.
Effective Feb. 16, 2024, individuals requesting to receive services may be placed on a waitlist.
Clarification on the expiration of S.L. 2022-74 Section 9K.3 supervision flexibilities and a new taxonomy for Behavioral Analyst
Guidance for ophthalmologists, optometrists and opticians regarding clinical coverage policies for medical and routine eye exams and visual aids.
Effective with date of service Jan. 16, 2024, NC Medicaid covers benzathine benzylpenicillin (Extencilline)