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North Carolina Medicaid Pharmacy Newsletter - ncdhhs

North Carolina Medicaid Pharmacy Newsletter - ncdhhs 2025

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The North Carolina Medicaid Pharmacy Newsletter (February 2006, No. 131) provides updates on various topics including the addition of nicotine products to the OTC coverage list, new upper limits for certain medications, Medicare Part D exceptions and appeals processes, and reminders regarding billing requirements for family planning waivers and corrected 1099 requests. It also outlines important dates for checkwrite schedules and electronic claim cut-off deadlines.

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Click ‘Get Form’ to open the North Carolina Medicaid Pharmacy Newsletter in the editor.
Review the newsletter sections, starting with 'Nicotine Products Now on OTC Coverage List'. Here, you can find details about eligible nicotine products for reimbursement. Make note of any specific medications relevant to your needs.
Proceed to the 'N.C. Medicaid Upper Limits' section. This outlines dosage limits for certain medications. Ensure you understand these limits as they will affect prescription dispensing.
In the 'Medicare Part D Exceptions and Appeals Information', familiarize yourself with the procedures for prior authorization and appeals. This information is crucial for navigating Medicare processes effectively.
For billing requirements, refer to the 'Family Planning Waiver Reminder' and 'Corrected 1099 Requests' sections. Follow the instructions carefully to ensure compliance and avoid issues with tax documentation.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is Carolina Complete Health North Carolina Medicaid?

Carolina Complete Health is a provider-led health plan established to deliver Medicaid Managed Care in North Carolina.

What is the website to apply for NC Medicaid?

Apply online through our secure website, ePASS. On the application, NC Medicaid is referred to as Medical Assistance. You will need an NCID to begin your application. An NCID is a secure online user ID and password you set up to access many North Carolina government programs, including NC Medicaid.

Does North Carolina Medicaid pay for prescriptions?

The North Carolina Medicaid Pharmacy Program offers a comprehensive prescription drug benefit, ensuring low-income North Carolinians have access to the medicine they need.

What is going on with NC Medicaid?

NC has not terminated anyone from Medicaid since 2020 because of the COVID-19 pandemic. Starting April 1, 2023 your local DSS office will begin checking to see if you are still eligible for Medicaid. If it determines that you are no longer eligible, your benefits may end or be reduced.

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