This bulletin applies to NC Medicaid Direct.Please note the corrected effective dates for the following codes that were reported in bulletin article: CPT Code Update Effective Jan. 1, 2024. 87593 Detection of Orthopoxvirus- effective date 7/26/202290589 Chikungunya Virus Vaccine- effective date 2/28/2024Also note the following CPT codes are covered, effective 1/1/2024:
Topics Related to Division of Health Benefits
NC Medicaid will continue the current Tailored Care Management temporary payment rate of $343.97 statewide through June 30, 2025.
Includes information on Change of Ownership Requirement, Upcoming Webinars, and more.
Effective Jan. 1, 2025, the unit of reimbursement will change from a 15-minute increment to a daily per diem.
Two policies will be effective on Jan. 1, 2025, and posted to the NC Medicaid website.
Includes information on vaccine reimbursement, billing, counseling coverage and Immunization Program/Vaccines for Children
Health plans are required to pay interest to providers if they fail to accurately pay or inappropriately deny a claim.
Enrolled providers must notify the Department at least 30 days prior to the effective date of a change of ownership.
Providers who support Community Alternatives Programs for Children and or Disabled Adults Medicaid Beneficiaries enrolled in NC Medicaid Direct.