PA Update for DME and O&P Providers, Piflufolastat F18 Injection Billing Guidelines, NC Medicaid Quality Symposium, and more

New Medicaid Bulletin Articles Available as of March 29

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

• Durable Medical Equipment and Orthotic and Prosthetic Manually Priced Procedure Codes - Prior Authorization Update
• piflufolastat F18 Injection, for Intravenous Use (Pylarify®) HCPCS Code A9595 - Piflufolastat f-18, diagnostic, 1 millicurie: Billing Guidelines
• 2023 NC Medicaid Quality Symposium - Partnering for Performance
• Local Management Entity/Managed Care Organization Enrollment Changes for April 1, 2023
• NC Medicaid Managed Care Provider Update – March 22, 2023
• Lantus Update on NC Medicaid Preferred Drug List for NC Medicaid Direct

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