Blog Entry List

Behavioral health services to transition to Tailored Plans in December 2022
Coverage date has been extended from March 31, 2022, to the end of the federal Public Health Emergency
March 2022 detail on continuing, end-dating and revised rates
New Legislation Extends Medicaid for Pregnant Beneficiaries from 60 Days to 12 Months After Birth Effective April 1, 2022.
Acute Hospital at Home program sunsetting next week
End-date of some flexibilities set to sunset March 31 extended to June 30, 2022
Key dates, playbook updates, coverage for pregnant beneficiaries extended to 12 months and more
Includes HCPCS Code G2214 and Revision to Definition of Behavioral Health Care Manager
An amended version of Clinical Coverage Policy 5A-2, Respiratory Equipment and Supplies with an effective date of Feb. 1, 2022, is posted.
With the end of the Federal Public Health Emergency, NCTracks will resume the provider reverification process.
Effective with date of service Feb 1, 2022, the Medicaid and NC Health Choice programs cover pemetrexed injection, for intravenous use (Pemfexy™).
Effective with date of service Jan. 27, 2022, the Medicaid and NC Health Choice programs cover triamcinolone acetonide injectable suspension.
Qualifying Medicaid Standard Plan members in 33 North Carolina counties may now receive food services.
Effective with date of service Feb. 7, 2022, the Medicaid and NC Health Choice programs cover faricimab-svoa.
Medicaid and prepaid health plans (PHPs) have identified a trend in claim denials related to taxonomy enrollment and credentialing.