Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

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This bulletin has been replaced by Provider Reverification Process Update - March 15, 2023.

The rates for HHCS shall be increased by 10% above the current fee schedule rate.

Beginning with date of service May 12, 2023, NC Medicaid will end temporary emergency flexibilities implemented for three claims processing edits.

This report describes findings from the second assessment of provider experience and satisfaction with the NC Medicaid program.

Clinical Coverage Policy 8A, Mobile Crisis Management

Optum has been awarded a contract to implement the solution, scheduled to launch in 2024.

Implementation of Tailored Plans Start Date Oct. 1, 2023

Effective Jan. 9, 2023, Medicaid and NC Health Choice cover mosunetuzumab-axgb injection, for intravenous use (Lunsumio).

Effective Dec. 7, 2022, Medicaid and NC Health Choice cover bendamustine hydrochloride injection, for intravenous use (Vivimusta).

Summary of updates to Clinical Coverage Policy 5A-3 with an effective date of Feb. 1, 2023.