Topics Related to Division of Health Benefits
CAHPS is a patient experience survey that serves as a national standard for measuring and reporting respondents’ experiences with their health care.
Proposed CAP/C Waiver renewal posted for public comment
From Dec. 1, 2022, to June 30, 2023, they will receive an enhanced medical home payment of $20 per member per month.
Pharmacy Point of Sale claims for members enrolled Tailored Plans will be managed by NCTracks when Tailored Plans launch through March 31, 2023.
Key milestones, playbook updates, verifying eligibility, reverification and more
Vaccine administration code changes effective Aug. 1.
Certain nursing facility claims recently reprocessed with EOB 10354 did not reimburse as expected
CMS requires that all Medicaid providers are recredentialed
Independent laboratories shall bill services to the hospital for whom they are providing clinical lab services. Hospitals should bill the PHPs.
Base codes are aligned with related procedures in the same family; a new endoscopy family is also created. Effective in NCTracks July 31, 2022.