Blog Entry List
NC Medicaid Direct PA effective begin and end dates will be modified to align with the individual’s eligibility segment.
New services address toxic stress and multiple non-medical needs
Some flexibilities will sunset on June 30, 2022
Stakeholder dialogs on ending CAP flexibilities coming soon
PA Resumes for Behavioral Health Services Effective July 15, 2022
Key milestones, playbook updates, verifying beneficiary eligibility, provider reverification, review provider record in NCTracks and more.
The estimated effective date for this policy update is Aug. 1, 2022.
Rate increase for EVV PCS claims
Providers who do not contract with Tailored Plans by the deadlines risk losing patients
Coverage for single booster dose
A new PA is required for beneficiaries returning to NC Medicaid Direct.
Effective Sept. 1, 2022, codes submitted without modifier LT (left), or RT (right) will be denied
NC Medicaid Direct PA effective begin and end dates will be modified to align with the individual’s eligibility segment.
EPSDT Prior Authorization Available July 1, 2022