UnitedHealthcareMedium ImpactPrior Auth

North Carolina Medicaid: Billing guidance for cell and gene therapy treatments

Published June 3, 2026Effective February 11, 2026

AI Summary

North Carolina Medicaid providers can now participate in the Cell and Gene Therapy (CGT) Access Model effective immediately. Prior authorization is required for all CGT treatments before providing services to UnitedHealthcare Community Plan members, with specific HCPCS codes requiring approval through either the Provider Portal or Optum Transplant Services.

Action Required

Immediately: Billing team must obtain prior authorization before providing any cell and gene therapy treatments to UnitedHealthcare Community Plan members in North Carolina. For drugs J1411 (Hemgenix), J3398 (Luxturna), J1413 (Elevidys), J1412 (Roctavian), and J3393 (Zynteglo), submit prior auth requests through UnitedHealthcare Provider Portal. For Casgevy, Lenmeldy, Lyfgenia, Skysona, and Zynteglo, contact Optum Transplant Services at 888-802-1802. Claims will be denied and members cannot be billed for services provided without prior authorization.

Affected Billing Codes

J1411J3398J1413J1412J3393

Plan Types

Medicaid

States

NC

Specialties

oncology, hematology, neurology, ophthalmology