Blog Entry List

Fact sheets covering Provider payment, reimbursement, claims submissions and prior authorization have been recently published on the NC Medicaid website.

Update includes provider verification, billing requirement modifications; Tailored Plan implementation, upcoming key milestones, playbook updates and more.

Effective July 1, 2023, the visit record must match the claim submitted to NCTracks. This bulletin provides additional information and resources.

Effective Jan. 1, 2023, the minimum age was adjusted from 50 years to 45 years.

Effective with date of service Jan. 1, 2023, the following new CPT codes as separately reimbursable in the ambulatory surgery setting

FDA approvals of these drugs were withdrawn.

The review must be performed before anyone can be admitted to a Medicaid-Certified nursing facility.

The federal COVID-19 Public Health Emergency (PHE) ends today, May 11, 2023. This bulletin contains information on the reverification process.

The federal COVID-19 Public Health Emergency (PHE) will end May 11, 2023. This bulletin contains important information on the reverification process.

Federal support ending for Resource Utilization Groups III and IV on federally required assessments for patients effective Oct. 1, 2023.

Effective with date of service Jan. 23, 2023, the Medicaid and NC Health Choice programs cover pegfilgrastim-fpgk

Effective with date of service Jan. 27, 2023, the Medicaid and NC Health Choice programs covers ublituximab-xiiy injection, for intravenous use (Briumvi)

Effective with date of service Jan. 20, 2023, the Medicaid and NC Health Choice programs cover fecal microbiota, live - jslm suspension, for rectal use (Rebyota).

Effective April 1, 2023, NC Medicaid covers ambulatory blood pressure monitoring. This helps confirm or exclude suspected hypertension.

Effective immediately, all providers must use the Electronic Visit Verification vendor of their choice for every home health visit.