Capacity building FAQs, guidance on the use of extenders, standard terms and conditions, and Provider Manual updates.
Medicaid Bulletin
Medicaid Bulletin Monthly Digest
Articles beginning January 2018 are available in the blog format.
Billing Reimbursement for second booster
Billing Guideline for use of Evusheld
Approved for beneficiaries over the age of 21, effective July 1, 2021
With the end of the federal Public Health Emergency (PHE) expected in the Summer of 2022, NC Medicaid providers will begin receiving reverification notices.
The Medicaid NCCI edits for the most recent quarter are published on the CMS website.
NC Medicaid received approval to increase NC Innovations Waiver capacity by 1,000 slots.
Effective with date of service Feb. 25, 2022, the Medicaid and NC Health Choice programs cover tebentafusp-tebn injection.
Effective with date of service Feb. 23, 2022, the Medicaid and NC Health Choice programs cover sirolimus protein-bound particles for injectable suspension (albumin-bound).
Effective with date of service March 2, 2022, the Medicaid and NC Health Choice programs cover plasminogen, human-tvmh lyophilized powder for reconstitution.