Blog Entry List
Final Extension of Electronic Visit Verification Soft Launch for Prepaid Health Plans
The prior authorization waiver is extended to Oct. 15.
NC Medicaid is updating the special focused financial assistance to Skilled Nursing Facilities provided through outbreak rates.
All state Medicaid programs are required to incorporate methodologies.
On Sept. 24, 2021, the Centers for Disease Control and Prevention (CDC) made the following recommendations:
This Special Bulletin updates SPECIAL BULLETIN COVID-19 #177: Casirivimab and Imdevimab Approved for Emergency Use.
The webinar series runs from October through mid-December.
NC Medicaid reimburses for the provision of the vaccine at the same rate as Medicare and is creating an additional payment to encourage access to vaccines during the Public Health Emergency.
Effective June 8, 2021, Medicaid will pay an extra $35, in addition to the standard administration payment (approximately $40 per COVID-19 vaccine dose), for a total payment of approximately $75 for a vaccine dose administered in a patient's home.
Effective Sept. 1, 2021, the Acute Hospital Care at Home (HAH) program will be available to North Carolina hospitals that have been granted a waiver from CMS and service NC Medicaid beneficiaries. NC Medicaid is planning to implement this program to be effective Sept. 1 through Dec. 31, 2021, unless this flexibility is terminated prior to Dec. 31, 2021.
The NCTracks provider record serves as the source of truth for managed care entities.
Due to the rapid increase in COVID infection and related hospitalization occupancy, NC Medicaid is reactivating its consideration of Response Facility Designation Requests submitted by skilled nursing facilities.
NC Medicaid licensed pharmacists are authorized to order and administer REGEN-COV monoclonal antibodies and pharmacy technicians/interns may administer it, in accordance with the conditions of their licensure and/or scope of practice.
Prepaid health plans are required to pay interest and penalties to providers if they fail to accurately pay or inappropriately deny a claim.
NC Medicaid Managed Care launched on July 1, 2021. Within the first 90 days of launch, beneficiaries can change their prepaid health plan (PHP) for any reason. The 90-day choice period ends on Sept. 30, 2021 for beneficiaries that moved to Managed Care on July 1, 2021.