Status Reporting for Reimbursement

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:  Nursing Home Reporting Portal Training Materials

Questions?

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. 

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

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