Topics Related to Bulletins

Effective Nov. 01, 2021, all encounters subject to EVV will require an EVV visit history.
Effective Oct. 22, 2021, NC Medicaid-enrolled providers can bill code 99401 with HM modifier for telephone outreach to unvaccinated Medicaid beneficiaries.
Effective with date of service Aug. 27, 2021, NC Medicaid covers selexipag for injection.
Effective with date of service Aug. 10, 2021, NC Medicaid covers avalglucosidase alfa-ngpt for injection.
Clinical Coverage Policy 1E-6, Transitioned to Pregnancy Management Program Effective July 1, 2021.
Medicaid has become aware that some providers have rendered this service without obtaining prior approval.
Individual Provider Affiliation required for certain providers by Nov. 21, 2021. Keeping NCTracks records current can help claims processing.
Cost sharing, such as deductibles, coinsurance, or copayments are waived for any Medicaid service.
In response to the COVID-19 public health emergency, the Centers for Medicare and Medicaid Services (CMS) is implementing 12 new procedure codes to describe the introduction or infusion of therapeutics into the International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS), effective Aug. 1, 2020.