New Medicaid Bulletin Articles Available as of Nov. 4

The NC Division of Health Benefits (DHB) has recently published new Medicaid Bulletin articles:

• Pfizer-BioNTech COVID-19 Vaccine, Bivalent 5 years through 11 years HCPCS Code 91315: Billing Guidelines
• New Fee Schedule and Covered Codes Webpage Live
• Moderna COVID-19 Vaccine, Bivalent Booster Dose (6 years through 11 years of age) HCPCS Code 91314: Billing Guidelines
• Changes to Clinical Policy 1A-15, Surgery for Clinically Severe or Morbid Obesity Effective Nov. 1, 2022
• REMINDER: Fee Schedule and Covered Codes Webpage Coming November 3
• Lutetium Lu 177 Vipivotide Tetraxetan Injection, for Intravenous Use (Pluvicto™) - New HCPCS Code A9607
• UPDATED: Kit for the Preparation of Gallium Ga 68 Gozetotide Injection, for Intravenous Use (Locametz®) HCPCS Code A9800: Billing Guidelines
• Delay in Annual Assessments for Personal Care Services Prior Approvals

Providers are encouraged to review this information. All bulletin articles, including those related to COVID-19, are available on DHB's Medicaid Bulletin webpage.