Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Topics include key dates, playbook updates, prior authorization, FAQs, contracting, ombudsman, webinars and more.

Oct 1, 2021 Update: The policy is amended with the effective date of Sept. 1, 2021.

Effective Oct. 15, 2021, CDSAs and independent practitioners providing individualized family service plan services must resume submitting PA requests.

The 2022 ICD-10 update is effective Oct. 1, 2021

Effective Aug. 18, 2021, the Medicaid and NC Health Choice programs cover anifrolumab-fnia injection

Tobacco-related policy requirements go into effect on July 1, 2022.

Two Months Left to Submit Program Year 2021 Attestations; Security Risk Analysis

Providers are encouraged to confirm which PA types are included in this long-term design.

Will cover all U.S. FDA approved CAR T-Cell Therapies when administered per U.S. FDA approved guidelines

Temporary Suspension of Prior Authorization for Post-Acute Placements and Temporary Availability of the Hospital at Home Program