Topics Related to Bulletins
Enrollment applications submitted with incorrect data including name, social security number and date of birth result in application denials and withdrawals. As a result, providers must submit new applications and pay any applicable fees.
This edit is in place to ensure billing providers are affiliated with the rendering (individual) providers for whom they are billing to prevent inaccurate payment or fraud.
Medicaid has designated specific ICD-10-CM diagnosis codes that do not count toward the annual visit limitation. These codes are reviewed regularly and updated as appropriate. The following ICD-10-CM codes will be added to this list of diagnosis codes for claims with dates of service on or after Jan. 1, 2019:
• F11.20 (OPIOID DEPENDENCE, UNCOMPLICATED)
• Z79.891 (LONG TERM [CURRENT] USE OF OPIATE ANALGESIC)
Visit NC Medicaid Annual Visit for more information.
• F11.20 (OPIOID DEPENDENCE, UNCOMPLICATED)
• Z79.891 (LONG TERM [CURRENT] USE OF OPIATE ANALGESIC)
Visit NC Medicaid Annual Visit for more information.
System changes have been completed to allow non-psychiatric Nurse Practitioners and Physician Assistants to receive reimbursement for CPT codes 90791 – Psychiatric Diagnostic Evaluation and 90792 – Psychiatric Diagnostic Evaluation with Medical Servicess when provided via telemedicine/telepsychiatry.
The following new or amended Medicaid and NC Health Choice clinical coverage policies were posted since Nov. 1, 2018.
As of Dec. 1, 2018, there are no NC Medicaid policies posted for public comment.
Proposed new or amended Medicaid and NC Health Choice clinical coverage policies are posted for comment throughout the month. Visit Proposed Medicaid and NC Health Choice Policies for current posted policies and instructions to submit a comment.
NC Medicaid Clinical Policy, (919) 855-4260
Proposed new or amended Medicaid and NC Health Choice clinical coverage policies are posted for comment throughout the month. Visit Proposed Medicaid and NC Health Choice Policies for current posted policies and instructions to submit a comment.
NC Medicaid Clinical Policy, (919) 855-4260
The Money Follows the Person Demonstration Project is preparing for the 2019-2023 Medicaid Transition Period and has updated its application for the coming year. MFP will continue to transition individuals on Medicaid from skilled level, long-term care facilities back to the community until all populations are folded into Medicaid Managed Care. The new application will be posted on the MFP website after Nov. 1, 2018. This new application will be effective Jan.
The NC Medicaid EHR Incentive Program’s Quick Tip Webinar Series has been updated to reflect the rules and regulations for Program Year 2018. This article also covers Promoting Interoperability Reporting Period and NC Medicaid EHR Incentive Payment System is Open for Program Year 2018.
Registration is open for the November 2018 instructor-led provider training courses listed below. Slots are limited.
WebEx courses can be attended remotely from any location with a telephone, computer and internet connection. Onsite courses include hands-on training and are limited to 45 participants. They are offered in-person at the GDIT facility at 2610 Wycliff Road in Raleigh.
Following are details on the courses, including dates, times and how to enroll.
AMH Attestation (WebEx)
Friday, Nov. 9, 2018, 9:30–11 a.m.
WebEx courses can be attended remotely from any location with a telephone, computer and internet connection. Onsite courses include hands-on training and are limited to 45 participants. They are offered in-person at the GDIT facility at 2610 Wycliff Road in Raleigh.
Following are details on the courses, including dates, times and how to enroll.
AMH Attestation (WebEx)
Friday, Nov. 9, 2018, 9:30–11 a.m.
Providers now have the option to withdraw an application by clicking on the "Withdraw" hyperlink on the Status and Management page of their NCTracks record.