Topics Related to Bulletins

Supervision Requirements of Board-Certified Behavior Analysts

Clarifies requirements related to Research Based-Behavioral Health Treatment and Specialized Consultative Services and New Taxonomy

Clinical Coverage Policy 1A-39, Routine Patient Costs Furnished in Connection with Participation in Qualifying Clinical Trials

CCP 1A-39 has been updated to reflect changes in 1905(a) of the Social Security Act

Overpayment Recovery Reviews

Providers are required to make adequate provision for return of any money incorrectly collected 

Updated Guidance for Private Duty Nursing

Physician’s signature on the CMS 485 Plan of Care form

NC Medicaid Managed Care Provider Update – April 21, 2023

Provider reverification, Tailored Plans start date Oct. 1, upcoming key milestones, playbook updates, billing requirement modifications and more.

NC Medicaid CAP/C Waiver Renewed through 2028

The waiver has received approval for another five years through Feb. 29, 2028.

Electronic Visit Verification for Home Health Services: Revised Implementation Dates - March 31, 2023

Implementation guidelines reflect the Tailored Plan launch date of Oct. 1, 2023.

REMINDER: Updates to Skilled Nursing Facility Provider Assessment Rates

Quarterly assessment rate adjustments begin April 1, 2023

Medication-Assisted Treatment for Opioid Use Disorders in Skilled Nursing Facilities

Guidance for medication-assisted treatment in skilled nursing facilities

Identifying Other Found Insurance for NC Medicaid Managed Care Members

Process change for Providers identifying Other Found Insurance for NC Medicaid Managed Care Members