Effective July 1, 2021, providers must use the most appropriate diagnosis code as the primary diagnosis for the well child exam.
Blog Entry List
Key milestone dates, where to turn for help, Provider Playbook, PHP quick reference guides, webinars, Provider Directory, Help Center and Provider Ombudsman.
NCTracks has continued sending reminder notices to providers advising of the requirement to update expiring credentials and keep them current.
Effective for dates of service on or after July 1, 2021, prior approval for solid organ and stem cell transplants will no longer be required.
NC Medicaid is seeking input from people who work in HCBS, those who receive care and the public on how North Carolina can most effectively allocate the funds.
Medicaid is adding codes into NCTracks to report negative pressure wound therapy utilizing disposable, non-durable medical equipment.
Beginning May 9, 2021, NC Medicaid initiated additional steps to ensure providers meet their contractual obligation to keep credentials current on their NCTracks provider enrollment record.
Effective for dates of service on or after July 1, 2021, prior approval for high tech imaging services will no longer be required for North Carolina Medicaid Direct beneficiaries.
NCTracks continues sending notifications of suspension to providers through the Provider Message Center Inbox for failure to update expiring credentials.
Revisions have been made to Clinical Policy 1A-20, Sleep Studies and Polysomnography Services effective May 1, 2021.
NC Medicaid will sunset its CARES Act funded reimbursement of nursing facility staff COVID-19 testing in June 2021. This bulletin provides an update on processing timelines for previously submitted cases and provides additional guidance for final payments under this initiative.
Topics include: key dates, contracting reminders, provider ombudsman, playbook updates, outreach to patient panels, webinars, provider directory, PHP quick reference guides, Help Center and Tailored Care Management certification.
DHHS will hold a webinar on June 4, 2021, to provide an update on the development of the Specialized Foster Care Plan.
NC DHHS announced the selection of organizations to serve three regions of the state
Medicaid beneficiaries currently eligible to transition to managed care have selected or been assigned a health plan.