Medicaid Bulletin

Includes provider recredentialing/reverification, Medicaid expansion, Tailored Plan implementation and more.

CPT code 99417 (Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time) is now allowed to be billed with 99245, 99345 and 99350.

This bulletin provides information about referrals for specialty care for NC Medicaid beneficiaries.

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.