Medicaid has become aware that some providers have rendered this service without obtaining prior approval.
Blog Entry List
Individual Provider Affiliation required for certain providers by Nov. 21, 2021. Keeping NCTracks records current can help claims processing.
Cost sharing, such as deductibles, coinsurance, or copayments are waived for any Medicaid service.
In response to the COVID-19 public health emergency, the Centers for Medicare and Medicaid Services (CMS) is implementing 12 new procedure codes to describe the introduction or infusion of therapeutics into the International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS), effective Aug. 1, 2020.
PA waiver extended to October 31, 2021
The portal has been updated with an enhanced view of Financial and Testing submissions for participating providers.
PA Resumes for CDSAs Effective October 15, 2021
The week of October 11, Carolina Access practices will receive a new PCCM agreement from CCNC. Signing this agreement allows practices to receive or continue to receive practice assignment data or quality data for NC Medicaid Direct beneficiaries. This does not apply to Carolina Access providers participating in the EBCI Tribal Option.
Organizational providers with certain taxonomies must have at least one active affiliated individual provider with one active taxonomy by Nov. 21, 2021.
Looking to learn about challenges and barriers to connecting to the statewide Health Information Exchange
Last Month to Submit Program Year 2021 Attestations and the Security Risk Analysis
The procedure code list has been updated recently to include additional NP and PA taxonomies.
All submissions are due Friday, Oct. 15, 2021.
Information for providers to prepare for the reporting year 2023 Payment Error Rate Measurement audit.
The prior authorization waiver is extended to Oct. 15.