Medicaid Bulletin

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

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NC Medicaid Increasing Reimbursement Rates for the Substance Abuse Intensive Outpatient Program and Substance Abuse Comprehensive Outpatient Treatment
Rate Changes are Effective Aug. 1, 2024
NCTracks Multi-Factor Authentication (MFA) Updates Coming Soon for Individual & Business Users
Users must update their NCID profile by Sept. 6, 2024.
Community Alternatives Program for Disabled Adults 1915(c) Home and Community-Based Services Waiver Renewal

The NC Medicaid Community Alternatives Program for Disabled Adults (CAP/DA) §1915(c) Home and Community-Based Services (HCBS) expires Oct. 31, 2024. NC Medicaid is seeking to renew the waiver for another five years.

Clarification for Clinical Coverage Policies 5A-2, Respiratory Equipment and Supplies and 1A-20, Sleep Studies and Polysomnography Services
Clarification to recent policy and billing questions
1915(i) Updates for Providers
Updates for providers on 1915(b)(3) services ending, new 1915(i) assessment tool and 1915(i) reassessments.
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.