Once fully implemented, beneficiaries and providers will have a single point of entry for obtaining LTSS programs in NC Medicaid Direct.
The waiver has received approval for another five years through Feb. 29, 2028.
Rate increases continuing and effects on managed care plans and contracted providers
When the service location field is not completed, the Alt EVV vendor will receive an exception notice.
Proposed CAP/C Waiver renewal posted for public comment
EVV Home Health Implementation Review and Updates
Providers are required to complete the EVV readiness survey by July 22, 2022
Proposed CAP/DA Waiver amendment posted for public comment
Stakeholder dialogs on ending CAP flexibilities coming soon
Rate increase for EVV PCS claims
Sharing Vacant CAP/DA Slots and Waiver Amendments
Waiver extension has been approved by CMS
NC Medicaid has extended its deadline to February 2022 to send the renewed waiver application to the Centers for Medicare and Medicaid Services to request approval of the CAP/C waiver for another five years.
UPDATE Oct. 28, 2021: Procedure code T1004 has been removed from this list, as it is excluded, and was originally listed in error. EVV visits for respite services must follow EVV capture requirements.
This Bulletin contains updates on the implementation of electronic visit verification (EVV) claims adjudication, entering manual visits, alternate EVV solutions, EVV system updates, EVV implementation for Innovations and TBI Waivers administered by LME-MCOs, EVV implementation for managed care health plans, and quick help tips and resources.