New Medicaid Bulletin Articles Available as of June 20

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

• Enhancements to PDN Prior Approval and Claims Processing – Effective July 13, 2025- NCTracks will implement system enhancements to improve the processing of Private Duty Nursing (PDN) Prior Approvals (PAs) and claims.
• Signature Requirements for Nursing Facility Level of Care Forms- Updated guidance for forms NC Medicaid 372-124 and DMA-0100.
• NC Medicaid Guidance on Sunsetting of Community Alternatives Program Waiver Appendix K Flexibilities - NC Medicaid Hurricane Helene flexibilities for Community Alternatives Program for Children (CAP/C) and Community Alternatives Program for Disabled Adults (CAP/DA) Waiver programs will expire on June 30, 2025.

Providers are encouraged to review this information. All bulletin articles are available on DHB's Medicaid Bulletin webpage.