New services address toxic stress and multiple non-medical needs
Some flexibilities will sunset on June 30, 2022
PA Resumes for Behavioral Health Services Effective July 15, 2022
The estimated effective date for this policy update is Aug. 1, 2022.
Key milestones, playbook updates, verifying beneficiary eligibility, provider reverification, review provider record in NCTracks and more.
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.
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
Three claims processing edits to end with Public Health Emergency
Prior to submitting an application for Advanced Medical Home/Care Management Agency Certification, please download and utilize the Provider Directory Listing Report.
An updated version of the policy with an amendment date of May 15, 2022, is posted.
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
Reminder: Point of Sale Billing Authorized in January