Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Expanding Pilot Eligibility to Members in NC Medicaid Direct in Pilot Regions
Billing Requirements for Medicaid Direct Providers
States must revalidate the enrollment of all providers at least every five years to ensure the information on record is accurate and current.
Look for details on training in June related to these changes.
Forum to be held Tuesday, June 25 in Concord.
Withdrawal Management Policies Delayed
The audit will sample fee-for-service claims collected for a full year – July 1, 2024, through June 30, 2025.
Recent State Plan Amendment outlines duties of a responsible third party
New separately reimbursable CPT codes in the ambulatory surgery setting
The Centers for Medicare & Medicaid Services has approved State Plan Amendments to revise reimbursement methodology.