To support the SNF and ICF-IID reporting and collection of provider healthcare assessment data.
Blog Entry List
Expanding Pilot Eligibility to Members in NC Medicaid Direct in Pilot Regions
Billing Requirements for Medicaid Direct Providers
Look for details on training in June related to these changes.
States must revalidate the enrollment of all providers at least every five years to ensure the information on record is accurate and current.
Forum to be held Tuesday, June 25 in Concord.
The audit will sample fee-for-service claims collected for a full year – July 1, 2024, through June 30, 2025.
Recent State Plan Amendment outlines duties of a responsible third party
New separately reimbursable CPT codes in the ambulatory surgery setting
Revised policy in addition to services outlined in Maternity Coverage and Reimbursement Bulletin posted Oct. 23, 2023.
Updates on the Sandata mobile app, telephony and fixed visit verification.
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.
Highlights from Year 2