Highlighting coverage, rate and resource changes in 2022
Topics Related to Division of Health Benefits
Last days for providers to have fully executed contracts with Tailored Plans to be included in the beneficiary choice period and auto-assignment.
Beneficiaries can apply for various benefits, view case details, renew their Medicaid and update their information
Documents modifying the Skilled Nursing Facilities Provider Assessment and temporary COVID-19 add-on, and SNF per diem rates are impacted.
Changes requirement to “comprehensive annual exam or annual assessment” prior to providing family planning and related services.
Effective with date of service Nov. 15, 2022, Medicaid and NC Health Choice cover Eflapegrastim-xnst injection, for subcutaneous use (Rolvedon).
Effective with date of service Oct. 19, 2022, Medicaid and NC Health Choice cover Sodium Thiosulfate injection, for intravenous use (Pedmark).
When the service location field is not completed, the Alt EVV vendor will receive an exception notice.
This bulletin replaces the previous bulletin published Nov. 21, 2022.
Replaces the prior version issued in February 2022