Blog Entry List
New separately reimbursable CPT codes in the ambulatory surgery setting
Recent State Plan Amendment outlines duties of a responsible third party
The Centers for Medicare & Medicaid Services has approved State Plan Amendments to revise reimbursement methodology.
Providers should work with their Medicaid beneficiary’s health plan and Tailored Care Manager to transition the members to 1915(i) services.
Claims that reuse the same visit key for multiple dates of service, MIDs, NPIs or procedure codes will deny.
Effective with date of service Jan. 16, 2024, NC Medicaid covers benzathine benzylpenicillin (Extencilline)
This rate increase in the latest Physician Administered Drug Program fee schedule supports treating Medicaid members for Congenital Syphilis.
Policies to promulgate on May 1, 2024.
Fee schedule rate corrected on Feb. 5, 2024.
An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies with an effective date of Dec. 1, 2023, is posted.
Electronic Visit Verification for NC Medicaid-Funded Personal Care Services and Home Health Services
Manual entries and Sandata Mobile Connect 2.0.
CorDx, GoToKnow, FaStep COVID-19 AG Home Tests added to coverage.
How to create an association in Sandata allowing providers to work with their clients
How to best serve beneficiaries who have not received nursing services for 30 consecutive days.
NC Medicaid will update the PADP fee schedule effective Feb. 1, 2024.