Blog Entry List

Effective Jan. 1, 2020, the title of Clinical Coverage Policy 1A-34 changed to Dialysis Services. In addition to the title change, the Division of Health Benefits will now cover services for Acute Kidney Injury (AKI). 

Effective July 1, 2020, End Stage Renal Disease (ESRD) Treatment providers (261QE0700X) were added to the list of eligible providers for Procedure Code J0887, Mircera, Injection, Epoetin Beta, 1 Microgram, (FOR ESRD ON DIALYSIS). 

NCTracks has reset the due date for providers required to re-verify their enrollment between the dates of July 1, 2020, and Aug. 31, 2020.  

NC Medicaid has received federal approval of additional flexibilities during the COVID-19 pandemic for the NC Innovations and NC Traumatic Brain Injury waivers.

A webcast for the Provider Relief Fund will be held Wednesday, July 8 from 4-5 p.m. Reminder - the application deadline is July 20, 2020.

NC Medicaid, in partnership with the Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMHDDSAS), is offering the following guidance to providers, instructors, and staff regarding restrictive interventions and CPR/First Aid.

This Bulletin has been updated by SPECIAL BULLETIN COVID-19 #150: UPDATE to NC Medicaid Cost Report Filing Extensions posted on Jan. 15, 2021. 

 

NC-MIPS is Open for Program Year 2020, Program Year 2020 Webinar Series and The Security Risk Analysis (SRA).

This bulletin replaces SPECIAL BULLETIN COVID-19 #79 in its entirety. NC Medicaid has temporarily modified its Telemedicine and Telepsychiatry Clinical Coverage Policy to better enable the delivery of remote care to Medicaid beneficiaries. 
 

The Centers for Medicare & Medicaid Services (CMS) and the American Medical Association have announced the release of several new codes to report testing for active cases of Coronavirus (COVID-19) as well as detection of antibodies.   

CARES Act Provider Relief Fund Webcast, Information for Medicaid Providers and a Checklist for Medicaid Providers Eligible for Federal Relief.

Per Section 4.6 of the North Carolina General Assembly’s recently approved Session Law 2020-4 (House Bill 1043), NC Medicaid is implementing a 5% rate increase for all Fee-For-Service (FFS) Medicaid providers who had not yet received a 5% increase during the COVID-19 public health emergency. 

NC Medicaid has implemented COVID-19 rate increase functionality to reimburse hospice care provided in a skilled nursing facility (SNF) designated as a “SNF COVID-Outbreak site” or “SNF COVID-Response site” in a ratio consistent with how hospice care is reimbursed in all other SNFs. 

Medicaid and NC Health Choice providers now have a single source to find answers to questions about COVID-19. The online resource is a collection of Medicaid and behavioral health COVID-19 information, including answers to questions received in the COVID-19 mailbox, during webinars, from COVID-19 Special Medicaid Bulletins and other sources.

North Carolina is experiencing increased community transmission of COVID-19 in many areas of the state, particularly among our historically marginalized populations, especially our Latinx community. Pre-symptomatic and asymptomatic spread is playing an important role. Updated clinician and laboratory testing guidance and a new resource on community testing in historically marginalized populations are available.