Status Reporting for Reimbursement
Extension Funding: Reporting and Payment Resources
Secretarial Order No. 4: Reporting and Payment Resources
On Sept. 21, 2020, Secretary Mandy Cohen released Secretaral Order N. 4, Mandatory Testing for Staff in Nursing Homes, which updated and replaced Secretarial Order No. 2. Secretarial Order No. 4 was further clarified through related guidance. Under Secretarial Order No. 4, the Department aligns required testing intervals for nursing homes with those established under Centers for Medicare and Medicaid Services (CMS) Transmittal, QSO-20-38-NH. As was established under Secretarial Order No. 2, nursing homes are required to report applicable testing activity through the COVID-19 Testing: Nursing Home Reporting Portal. Further, CARES Act funding dedicated to support nursing homes’ staff testing activity, as established in Special Bulletin 129, has been continued under Secretarial Order No. 4.
- COVID Testing under CARES Act Final Reconciliation Staff Roster Template - Jan. 5, 2021
- COVID Testing Payments under CARES Act Final Reconciliation Process 1 of 2 - Dec. 3, 2020
- COVID Testing Payments under CARES Act Final Reconciliation Process 2 of 2 - Dec. 10, 2020
- NC DHHS COVID 19 Testing: Nursing Home Reporting Updates and Guidance on Financial Submissions - Nov. 13, 2020
- NC DHHS COVID 19 Testing Guidance: Continuation of Secretarial Order No. 4 and CARES Act Funding through Dec. 30, 2020
Secretarial Order No. 2: Reporting and Payment Resources
On Aug. 7, 2020, DHHS Secretary Mandy Cohen established Secretarial Order No. 2: Mandatory Testing for Staff in Nursing Homes. Under this Order, all nursing homes regulated by DHHS are required to conduct testing as outlined in the Order and related guidance.
CARES Act funding has been reserved to support providers with the staff testing required by the Secretarial Order. Additional information is available through the documents provided here. All reporting shall be submitted through the "COVID-19 Testing: Nursing Home Reporting" Portal.
- COVID-19 Testing: Reporting under Secretarial Order No. 2 (part 1 of 2)
- COVID-19 Testing: Reporting under Secretarial Order No. 2 (part 2 of 2)
- COVID-19 Nursing Home Testing: Office Hours, Financial Reporting Overview
- COVID-19 Portal Testing and Reporting Timeline Extended and Final Reconcilation
- Secretarial Order No. 2: Definitions
- SPECIAL BULLETIN COVID-19 #129: Reporting Requirements and Financial Support to Nursing Homes under Secretarial Order No.2
Secretarial Orders 2 and 4 Office Hours Presentations
COVID-19 Testing: Nursing Home Reporting Portal Training Materials
Questions?
- Please direct any questions to Medicaid.ProviderReimbursement@dhhs.nc.gov
Information for Swing Bed Providers
Status Report Template for COVID-19-Related Swing-Bed Services Established in SPECIAL BULLETIN COVID-19 #115: Targeted Rate Increase and Associated Requirements for Swing Bed Services
As noted in SPECIAL BULLETIN COVID-19 #115: Targeted Rate Increase and Associated Requirements for Swing Bed Services, applicable provider claiming the enhanced rate must complete and submit the Status Report Template for COVID-19-Related Swing Bed Services.
NC Medicaid will offer a technical assistance session about these time-limited rate enhancements and related reporting requirements on Tuesday, July 28, 2020, from 2 to 3 p.m. ET. Providers interested in attending may register here.
Information for In-Home Providers
COVID+ Status Report Template for In-Home Providers Established In Special Bulletin COVID-19 #93
As noted in SPECIAL BULLETIN COVID-19 #93: Targeted Rate Increase, Additional Hours and Associated Reporting Requirements for In-Home Personal Care Services (PCS) Providers under State Plan PCS and CAP/C and CAP/DA Programs, applicable providers claiming the enhanced rate for serving COVID-19 beneficiaries must complete and submit the COVID+ Report Template for In-Home Providers each month. The template and related instructions are provided below.
- COVID+ Report Template for In-Home Providers
- NC Medicaid COVID+ Report Template Guidance for In Home Providers
- COVID+ Report Template for In-Home Providers, Technical Assistance Session 1 of 2
- COVID+ Report Template for In-Home Providers, Technical Assistance Session 2 of 2
Information for Nursing Facilities and Adult Care Homes
COVID-19 Status Reporting Template Established in SPECIAL BULLETIN COVID-19 #82: Required Reporting to Maintain Retroactive Targeted Rate Increases for Skilled Nursing Facilities (SNFs) and Adult Care Homes (ACHs) Serving COVID-positive Patients
NC Medicaid is directing increased financial assistance to North Carolina Skilled Nursing Facilities (SNF) and Adult Care Homes (ACH) to support addressing the increased costs of caring for COVID positive (COVID+) residents in a congregate care setting. This targeted assistance is retroactive to April 1, 2020.
The documents below are being made available to allow SNFs and ACHS to meet the status reporting requirements for targeted COVID-19 rates to remain in effect.
For Facilities Experiencing a COVID Outbreak
- NC Medicaid COVID OUTBREAK Report Template Guidance
- NC DHB Outbreak Facility Reporting Date Provider Name Template
- COVID Outbreak Facility Reporting Technical Assistance Session for Adult Care Homes
- COVID Outbreak Facility Report Technical Assistance Session for Nursing Facilities
For Facilities Designated as COVID Response Facilities
If a nursing facility provider is interested in serving as a COVID Response Facility, please contact Medicaid.ProviderReimbursement@dhhs.nc.gov to initiate the process.
Additional information is available in SPECIAL BULLETIN COVID-19 #82: Expedited Hardship Advances and Retroactive Targeted Rate Increases for Skilled Nursing Facilities and Adult Care Homes Serving COVID-positive Patients