Effective June 22, 2022, Medicaid and NC Health Choice cover Risankizumab-rzaa Injection, for intravenous use (Skyrizi).
Blog Entry List
The PDAP Medicaid fee schedule requires multiple rate updates
Effective June 21, 2022, Medicaid and NC Health Choice cover Vutrisiran injection, for subcutaneous use (Amvuttra).
Evaluates the impact of the North Carolina Medicaid Transformation on primary care and obstetrics/gynecology (Ob/Gyn) practices
CAHPS is a patient experience survey that serves as a national standard for measuring and reporting respondents’ experiences with their health care.
An amended version is posted with an effective date of Aug. 1, 2022
Quality metrics that will assess health plans’ performance across their populations
A delay in identifying individuals in NCTracks as dually eligible for Medicare and Medicaid has been discovered.
Proposed CAP/C Waiver renewal posted for public comment
Updates for NC Immunization Program/Vaccines for Children and Medicaid Beneficiaries
Beginning Jan. 1, 2023, home health care provider agencies subject to electronic visit verification (EVV) can use an Alternative EVV system (Alt EVV) of their choice and submit records to the Sandata Aggregator. This will comply with the 21st Century Cures Act for Electronic Visit Verification.
From Dec. 1, 2022, to June 30, 2023, they will receive an enhanced medical home payment of $20 per member per month.
Pharmacy Point of Sale claims for members enrolled Tailored Plans will be managed by NCTracks when Tailored Plans launch through March 31, 2023.
Materials to support providers in sharing information with beneficiaries
Key milestones, playbook updates, verifying eligibility, reverification and more