Blog Entry List

Clinical Coverage Policy (CCP) 11B-4, Kidney (Renal) Transplantation, has been revised. The revisions, which will become effective Feb. 1, 2018, will remove the prior authorization requirement from live donor kidney transplants and reflect coverage based on glomerular filtration rate (GFR) and age, rather than diagnosis.

There are only four months left to submit an attestation for Program Year 2017.

Per Session Law (S.L.) 2015-241, as amended by S.L. 2017-57, North Carolina providers who are reimbursed by the state for providing health care services under N.C. Medicaid and N.C. Health Choice programs must join NC HealthConnex, the state-designated Health Information Exchange.

Registration is open for several instructor-led training courses for providers that will be held in January 2018.

Note: This article is being republished monthly. It was originally published in the December 2017 Medicaid Bulletin with revisions.

Note: This article was originally published in the October 2017 Medicaid Bulletin. This is the final Medicaid Bulletin publication. ‘High risk” individual providers and provider organizations, as outlined in NC General Statute 108C-3g, and individual owners with 5 percent or more direct or indirect ownership interest in a “high risk” organization are required to submit fingerprints to the N.C. Medicaid program.