Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Implementation of Delegated Enrollment and Credentialing Placed on Hold
Implementation of the initiative is paused until further notice.
Rendering, Attending, Ordering or Referring Provider Information Required on Claims for NC Medicaid Managed Care
This bulletin applies to all NC Medicaid Managed Care providers.
Important Update on Tailored Plan & Prepaid Inpatient Health Plan Dually-Eligible Beneficiary Medicare Crossover Claims
NC Medicaid is now routing dual-eligible beneficiary Professional and Institutional Medicare Crossover claims to the designated NC Medicaid Managed Care payor.
Updated Sterilization Consent Form
The sterilization consent form on the U.S. Department of Health and Human Services website has been updated.
NC Medicaid Temporary Flexibilities Due to Hurricane Erin
Flexibilities effective Aug. 19, 2025, for NC Medicaid beneficiaries due to Hurricane Erin
NC Medicaid to Cover Imported Benzathine Benzylpenicillin (Extencilline®) and Benzathine Benzylpenicillin Tetrahydrate (Lentocilin): Billing Guidelines
Effective with date of service Aug. 1, 2025, NC Medicaid covers benzathine benzylpenicillin (Extencilline®) and benzathine benzylpenicillin tetrahydrate (Lentocilin).
Nursing Facility Payment Changes Effective Sept. 1, 2025
NC Medicaid is implementing changes to the Nursing Facility process to support providers and members.
Updated 1915(i) Assessment
The revised NC Medicaid 1915(i) Assessment includes new date fields and must be used starting Oct. 1, 2025.
Updated Guidance for NC Medicaid Payments to Planned Parenthood – July 29, 2025
NC Medicaid is providing updated information to providers about new federal prohibitions on certain providers.
Registration Open for Recovery Audit Program Webinar
NC Medicaid is announcing the Recovery Audit Contractors program kick-off and upcoming Provider Outreach webinar.