UnitedHealthcareMedium ImpactPrior Auth

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

Published March 1, 2026Effective February 11, 2026

AI Summary

North Carolina Medicaid now allows providers to participate in the Cell and Gene Therapy (CGT) Access Model, providing eligible Medicaid enrollees access to cell and gene therapy treatments at reduced costs. Prior authorization is required for all CGT treatments through UnitedHealthcare Community Plan, with specific billing procedures for different drug therapies.

Action Required

Immediately: Billing team must obtain prior authorization before providing any CGT treatments to UnitedHealthcare Community Plan members. For drugs J1411 (Hemgenix), J3398 (Luxturna), J1413 (Elevidys), J1412 (Roctavian), and J3393 (Zynteglo), submit prior auth requests through UnitedHealthcare Provider Portal. For Casgevy, LenmeldyTM, Lyfgenia, Skysona, and Zynteglo, contact Optum Transplant Services at 888-802-1802. Do not bill members for services provided without prior authorization as claims will be denied.

Affected Billing Codes

J1411J3398J1413J1412J3393

Plan Types

Medicaid

States

NC

Specialties

oncology, hematology, ophthalmology, neurology