Blog Entry List

Eligible direct care workers to receive one-time bonus from eligible providers
Eligible direct care workers to receive wage increase from eligible HCBS providers
Jan. 28, 2022. Updated to include per diem rate increase and changes to the for submission of baseline wage data requirement regarding eligible direct care worker wage increase from eligible ICF-IID providers.

Effective Jan 9, 2022, NCTracks will no longer require Medicaid and NC Health Choice providers to pay the $100 NC application fee with enrollment and reverification applications.

FDA has expanded the use of single booster dose to include ages 12-15.

Since the launch of NC Medicaid Managed Care on July 1, 2021, providers have submitted claims to the prepaid health plans (PHPs) for services provided to beneficiaries who are enrolled with that PHP.

Reinstatement of temporary suspension of prior authorization for inpatient rehabilitation hospital and long-term care hospital admissions under NC Medicaid Managed Care.
Emergency use of Evusheld approved by FDA
Fact sheets that address questions related to the Standard Plan disenrollment process for children in foster care are now available.
Providers should bill with Revenue Code 0771 instead of Revenue Code 0261 on future claims for the vaccine and monoclonal antibody administration services.
On Dec. 20, 2021, the Department announced that the Healthy Opportunities Pilot will shift the start of Pilot service delivery from Feb. 1, 2022 to March 15, 2022. The Department will now take a phased approach to launching Healthy Opportunities Pilot services in all three Pilot regions.
New CPT codes for effective date of service Jan. 1, 2022
Reimbursement for COVID-19 Specimen Collection
DME/POS providers may issue medically necessary equipment & supplies
Effective with date of service Oct. 22, 2021, Medicaid and NC Health Choice programs cover afamelanotide implant, for subcutaneous use (Scenesse®).