New Medicaid Bulletin Articles Available as of July 17

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

• Updated: Federally Qualified Health Centers and Rural Health Clinics Reimbursement Methodology Changes Approved - Standard Plans will begin to reimburse the APM rate for claims with a date of service on or after Aug. 1, 2024.
• Opill to be Covered Without a Prescription - Effective Aug. 1, 2024, over the counter oral contraceptive Opill will be available without a prescription, at no cost.
• New Prior Authorizations Required for Substance Use Disorder Prescriptions - Providers need to submit new prior authorizations (PA) for services subject to 42 Code of Federal Regulations (CFR) Part II.
• NC Medicaid to Add Coverage for Obesity Management Medications - Effective Aug. 1, 2024, NC Medicaid will cover obesity management medications for beneficiaries 12 years of age and older.

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