Updated HCPCS Code, unit of coverage and maximum reimbursement rate
Blog Entry List
Key milestones, playbook updates, beneficiary eligibility, reverification, provider records, provider ombudsman, help center and webinars.
This bulletin specifies Medicaid flexibilities ending with the Hurricane Ian state of emergency and those remaining as part of the Federal COVID-19 public health emergency.
For NC Medicaid Direct Home Health Care Service Providers Who Elect Sandata, NC Medicaid’s Free Solution
Medicaid Home Health Care Services subject to Electronic Visit Verification
Form for nursing facilities and health plans to communicate with DSS
Effective Oct. 1, 2022, Medicaid and NC Health Choice cover Ipratropium Bromide inhalation solution, 0.02%
Effective Oct. 1, 2022, Medicaid and NC Health Choice cover Ipratropium Bromide/Albuterol Sulfate inhalation solution
Effective Sept. 15, 2022, Medicaid and NC Health Choice cover Olipudase alfa-rpcp for injection, for intravenous use
Effective Oct. 1, 2022, Medicaid and NC Health Choice cover Levalbuterol Hydrochloride inhalation solution (Xopenex)
Claims submitted with missing or invalid billing, rendering, and/or attending provider taxonomy codes is a top reason for claim denials
Effective Oct. 1, 2022, Medicaid and NC Health Choice cover Albuterol Sulfate inhalation solution (0.021%, 0.042% and 0.083%)
Effective Nov. 3, 2022, fee schedules currently listed on the NC Medicaid website will move to a new public fee schedule and covered code website.
Effective July 25, 2022, Medicaid and NC Health Choice cover dexmedetomidine sublingual film, for sublingual or buccal use (Igalmi)
Effective Aug. 1, 2022, Medicaid and NC Health Choice cover measles, mumps and rubella vaccine, live, suspension for subcutaneous injection (Priorix)