Letter and Public Notice from North Carolina Medicaid State Plan
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10 September 22 , 2025 Dear County DSS Director JOSH STEIN • Governor DEV SANGVAI • Secretary JAY LUDLAM • Deputy Secretary , NC Medicaid The Department of Health and Human Services , Division of Health Benefits DHB hereby provides notice of its intent to amend the Medicaid State Plan for the purpose of updating the 13 c Preventive Services section and Payments for Medical and Remedial Care and Service to add additional resources for evidence - based vaccines recommendations Please post this notice in your facility so that interested parties may be made aware of this proposed change and may comment as necessary The posting can be removed after ninety days from the date of this letter Sincerely , Ashley Blango Ashley Blango State Plan and Amendments Coordinator Attachment Public Notice SPA 25 - 0025 Vaccine Coverage NC MEDICAID NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF HEALTH BENEFITS LOCATION 1985 Umstead Drive , Kirby Building , Raleigh , NC 27603 MAILING ADDRESS 2501 Mail Service Center , Raleigh , NC 27699 - 2001 wwwncdhhsgov • TEL 919 - 855 - 4100 • FAX 919 - 733 - 6608 AN EQUAL OPPORTUNITY AFFIRMATIVE ACTION EMPLOYERPagePUBLIC NOTICE SPA 25 - 0025 Vaccine Coverage The Department of Health and Human Services , Division of Health Benefits hereby provides notice of its intent to submit a State Plan Amendment to the Center for Medicare and Medicaid Services to revise the coverage of adult vaccines Current coverage is based on ACIP recommendations The amendment proposes to cover vaccines according to ACIP recommendations guidelines as well as the recommendations of other governing bodies such as the FDA and professional organizations that provide evidence - based recommendations for vaccine administration This amendment will become effective September 20 , 2025 The annual estimated State Fiscal Impact of this change is a SFY 2026 190,538 b SFY 2027 254,051 A copy of the proposed public notice may be viewed at the County Department of Social Services Questions , comments and requests for copies of the proposed State Plan amendment should be directed to the Division of Health Benefits at the address listed below Jay Ludlam Deputy Secretary for NC Medicaid Division of Health Benefits 2501 Mail Service Center Raleigh , NC 27699 - 2501 medicaidrulescomments @ dhhsncgov Posted on the Division of Health Benefits Website September 19 , 2025 https medicaidncdhhsgov get - involved nc - health - choice - state - planPage