As announced previously, providers should not be submitting original claims for home health services using Bill Type 33X. Effective immediately, providers should use Bill Type 32X or 34X.
Blog Entry List
NC-MIPS is Open for Program Year 2020, Program Year 2020 Webinar Series, The Security Risk Analysis and Program Year 2021 Announcements.
NCDHHS has launched a new Beneficiary Portal on the NC Medicaid website. The portal will serve as a centralized information resource center for current Medicaid beneficiaries and those wishing to apply for Medicaid benefits. It also offers information about Medicaid Managed Care, set to launch July 1, 2021.
Updates on the consent form expiration date and clarifications related to the Aug. 15, 2020 policy update.
The Department is releasing a Notice of AMH Policy Changes requiring modifications to Advanced Medical Home Provider Contract Templates memo.
For inclusion in open enrollment and auto-enrollment, provider contracts must be signed and mailed to health plan by the following dates.
This bulletin provides important information regarding changes in the law concerning connection deadlines to NC HealthConnex, the state-designated health information exchange. It also describes a “Hardship Extension Process” coordinated by DHHS.
Key dates, webinar series, Provider Directory tool, Provider Ombudsman and PHP manuals updated.
During a recent medical and pharmacy claims analysis, billing anomalies for Long Acting Reversible Contraceptives (LARCs) and Depo-Provera (medroxyprogesterone) claims were identified.
NCDHHS has announced additional enhancements to NC FAST’s ePASS, the online portal that enables individuals to apply for and manage their Medicaid and Food and Nutrition Services. This latest upgrade incorporates the option for a Spanish version of the home screen, navigation tools and all content, as well as the ability to complete the entire application process online in Spanish.
Consent Form Expiration Date and Clarifications Related to Aug. 15, 2020 Policy Update
For facilities using a point-of-care antigen test device for detection of SARS-CoV-2, this is a reminder that providers are required by State Health Director Order to report all results, positive and negative, of diagnostic testing for SARS-CoV-2, the virus that causes COVID-19.
Following the Oct. 30, 2020, announcement that the NCTracks secure portal is live, providers are encouraged to submit qualifying COVID-19 related primary care services claims for reimbursement through the NCTracks secure portal.
DHHS has announced the launch of NC Medicaid’s managed care enrollment website, www.ncmedicaidplans.gov, in preparation for the launch of Medicaid Managed Care scheduled on July 1, 2021. Medicaid Managed Care open enrollment will begin March 15, 2021 and will continue through May 14, 2021.
The Advanced Medical Home Tier Attestation Tool, available on the NCTracks Secure Provider Portal Status and Management page has been modified. Providers may use this tool to downgrade from an AMH Tier 3 level provider to an AMH Tier 2 level provider.