Blog Entry List
Last Month to Submit Program Year 2021 Attestations and the Security Risk Analysis
Information for providers to prepare for the reporting year 2023 Payment Error Rate Measurement audit.
Organizational providers with certain taxonomies must have at least one active affiliated individual provider with one active taxonomy by Nov. 21, 2021.
All submissions are due Friday, Oct. 15, 2021.
NC Medicaid is updating the special focused financial assistance to Skilled Nursing Facilities provided through outbreak rates.
The prior authorization waiver is extended to Oct. 15.
All state Medicaid programs are required to incorporate methodologies.
The webinar series runs from October through mid-December.
NC Medicaid reimburses for the provision of the vaccine at the same rate as Medicare and is creating an additional payment to encourage access to vaccines during the Public Health Emergency.
Effective Sept. 1, 2021, the Acute Hospital Care at Home (HAH) program will be available to North Carolina hospitals that have been granted a waiver from CMS and service NC Medicaid beneficiaries. NC Medicaid is planning to implement this program to be effective Sept. 1 through Dec. 31, 2021, unless this flexibility is terminated prior to Dec. 31, 2021.
Effective June 8, 2021, Medicaid will pay an extra $35, in addition to the standard administration payment (approximately $40 per COVID-19 vaccine dose), for a total payment of approximately $75 for a vaccine dose administered in a patient's home.
The NCTracks provider record serves as the source of truth for managed care entities.
Due to the rapid increase in COVID infection and related hospitalization occupancy, NC Medicaid is reactivating its consideration of Response Facility Designation Requests submitted by skilled nursing facilities.
Prepaid health plans are required to pay interest and penalties to providers if they fail to accurately pay or inappropriately deny a claim.
NC Medicaid is extending all current COVID-19 temporary provider rate increases through Nov. 30, 2021. While the rate increases for providers authorized under SL 2020-4 were set to expire on June 30, 2021, NC Medicaid has discretion to continue these and other temporary rate increases assuming budget availability.