An amended version of Clinical Coverage Policy 1E-7, Family Planning Services with an effective date of Dec. 1, 2020, was posted to the NC Medicaid Clinical Coverage Policy webpage.
Topics Related to Bulletins
This bulletin revises the COVID-Response Site criteria established in SPECIAL BULLETIN COVID-19 #82.
EVV Training for providers using NC Medicaid’s EVV solution, Sandata, is now underway with instructor-led training webinars filling up fast. Training is required to ensure all agency employees are ready to capture EVV visit data.
NC Medicaid will host a Stakeholder Engagement meeting regarding Electronic Visit Verification on Thursday, Dec. 17, 2020, at 10 a.m. Registration is required.
Clarification regarding Electronic Visit Verification (EVV) and how it applies to in-home caregivers, including service codes for EVV and frequently asked questions on this topic.
The latest version of the Third-Party Liability Medicaid and NC Health Choice billing guide is available.
Effective with date of service Nov. 13, 2020, the Medicaid and NC Health Choice programs cover meningococcal [Groups A, C, Y, W] conjugate vaccine, solution for intramuscular injection (MenQuadfi™) for use in the Physician Administered Drug Program.
Effective with date of service Aug. 4, 2020, the Medicaid and NC Health Choice programs cover amisulpride injection, for intravenous use (Barhemsys®) for use in the Physician Administered Drug Program (PADP) when billed with HCPCS code J3490 - Unclassified drugs.
Effective with date of service Jan. 1, 2020, the Medicaid and NC Health Choice programs cover famotidine injection (Pepcid®) for use in the Physician Administered Drug Program (PADP) when billed with HCPCS code J3490 - Unclassified drugs.
Effective July 26, 2020, Registered Dieticians and Nutritionists may enroll in Medicaid or the NC Health Choice program to provide and bill for this service for pregnant women and beneficiaries less than 21 years of age.