Medicaid Bulletin

Process change for Providers identifying Other Found Insurance for NC Medicaid Managed Care Members

A new prior authorization is required for beneficiaries returning to NC Medicaid Direct

Effective with date of service, Dec. 21, 2022, the NC Medicaid and NC Health Choice programs cover piflufolastat F18 injection

Register now for the diabetes self-management presentation on May 11 and adolescent immunization on May 16.

Behavioral health prior authorizations effective April 1, 2023

Implementation of Tailored Plans, playbook update, Provider reverification, NC Health Choice move to Medicaid, NCTracks Provider records and more.

Lantus® SoloStar® / Vial will move to preferred on the NC Medicaid Preferred Drug List, effective March 24, 2023.

Rate increases continuing and effects on managed care plans and contracted providers

Providers for whom reverification was delayed are being organized into groups to ensure reverification is completed timely. 

Tobacco-related policy requirements go into effect on April 1, 2024.