Topics Related to Bulletins

CAHPS is a patient experience survey that serves as a national standard for measuring and reporting respondents’ experiences with their health care.

Quality metrics that will assess health plans’ performance across their populations

An amended version is posted with an effective date of Aug. 1, 2022

A delay in identifying individuals in NCTracks as dually eligible for Medicare and Medicaid has been discovered.

Proposed CAP/C Waiver renewal posted for public comment

Updates for NC Immunization Program/Vaccines for Children and Medicaid Beneficiaries

Beginning Jan. 1, 2023, home health care provider agencies subject to electronic visit verification (EVV) can use an Alternative EVV system (Alt EVV) of their choice and submit records to the Sandata Aggregator. This will comply with the 21st Century Cures Act for Electronic Visit Verification.

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