Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

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The implementation of the Rate Reimbursement Methodology for individuals living in congregate settings will take effect on April 1, 2025.
Children with NC Medicaid temporarily living in another state can get a free Vaccine for Children (VFC) vaccine from any VFC provider in that state.
Effective Jan. 1, 2025, NC Medicaid will cover U.S. Food & Drug Administration approved cell and gene therapies
Effective with date of service Jan. 1, 2025, new CPT codes have been added, some end-dated, and descriptions of some existing codes have been updated
This bulletin has updated end dates & additional flexibilities for Behavioral Health, Care Management, Innovations, and Long-Term Services & Supports.
This is an update to the September 2016 Medicaid Ordering, Prescribing or Referring Special Bulletin.
Comments accepted through Jan. 6, 2024.

This bulletin applies to NC Medicaid Direct and NC Medicaid Managed Care. 

The federal fee for Medicaid enrollment has increased to $730 for calendar year 2025.

This bulletin applies to NC Medicaid Direct.