Medicaid Prescription Rules

In May 2007, Congress passed legislation requiring that prescriptions for all Medicaid outpatient drugs be written on tamper-resistant prescription pads, to be implemented April 1, 2008. The NC Division of Medical Assistance has published guidance regarding this law, available at the DMA’s website.

Full Zip Code for Billing Required

Providers are now required to include the last four digits of their ZIP codes in the billing address and service facility location address fields on all claims. Once NPI is implemented, the ZIP+4 will be necessary for claims processing.

Medicaid Seminars on NPI

In February 2008, NC Medicaid will sponsor seminars discussing the implementation of National Provider Identifier (NPI). Providers who would like more information on NPI are encouraged to attend. For more details see the NC Medicaid January bulletin.