Blog Entry List
Additional information to what was published in COVID-19 #210
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. This change is made pursuant to NC Senate Bill 105 Session Law 2021-180 Section 9D.9(a), which waives the fee until June 30, 2023.
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. NCDHHS established provider payment requirements for PHPs to encourage continued provider participation in the Medicaid program, to ensure beneficiary access and support safety net providers and to ensure continuation of current reimbursement levels.
Reinstatement of temporary suspension of prior authorization for inpatient rehabilitation hospital and long-term care hospital admissions under NC Medicaid Managed Care.
Providers should bill with Revenue Code 0771 instead of Revenue Code 0261 on future claims for the vaccine and monoclonal antibody administration services.
Fact sheets that address questions related to the Standard Plan disenrollment process for children in foster care are now available.
Emergency use of Evusheld approved by FDA
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.
Reimbursement for COVID-19 Specimen Collection
DME/POS providers may issue medically necessary equipment & supplies