Topics Related to Bulletins
Rate increase for EVV PCS claims
Providers who do not contract with Tailored Plans by the deadlines risk losing patients
NC Medicaid Direct PA effective begin and end dates will be modified to align with the individual’s eligibility segment.
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.