Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Updated HCPCS Code, unit of coverage and maximum reimbursement rate

The delay in conducting assessments has slowed the generation of prior approvals for the continuation of PCS.

Key milestones, playbook updates, beneficiary eligibility, reverification, provider records, provider ombudsman, help center and webinars.

This bulletin specifies Medicaid flexibilities ending with the Hurricane Ian state of emergency and those remaining as part of the Federal COVID-19 public health emergency.

For NC Medicaid Direct Home Health Care Service Providers Who Elect Sandata, NC Medicaid’s Free Solution

Medicaid Home Health Care Services subject to Electronic Visit Verification

Form for nursing facilities and health plans to communicate with DSS

Claims submitted with missing or invalid billing, rendering, and/or attending provider taxonomy codes is a top reason for claim denials

Effective Sept. 15, 2022, Medicaid and NC Health Choice cover Olipudase alfa-rpcp for injection, for intravenous use

Effective Oct. 1, 2022, Medicaid and NC Health Choice cover Levalbuterol Hydrochloride inhalation solution (Xopenex)