NC Medicaid Direct PA effective begin and end dates will be modified to align with the individual’s eligibility segment.
Topics Related to Bulletins
Effective Sept. 1, 2022, codes submitted without modifier LT (left), or RT (right) will be denied
A new PA is required for beneficiaries returning to NC Medicaid Direct.
Coverage for single booster dose
New billable codes available Sept.1 to address social drivers of health
EPSDT Prior Authorization Available July 1, 2022
Beginning Jan. 1, 2023, substantive portion means more than half of the total time spent by the physician and NPP performing the shared/split visit
An updated version of the policy with an amendment date of May 15, 2022, is posted.
Prior to submitting an application for Advanced Medical Home/Care Management Agency Certification, please download and utilize the Provider Directory Listing Report.
Three claims processing edits to end with Public Health Emergency