Topics Related to Division of Health Benefits
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.
Effective Aug. 1, 2022, only the technical component of an onsite radiology service performed at FQHCs/RHCs will be separately reimbursed by Medicaid
New services address toxic stress and multiple non-medical needs
Stakeholder dialogs on ending CAP flexibilities coming soon