NC Medicaid wants to ensure that during the transition to NC Medicaid Managed Care that Medicaid beneficiaries receive the care they need as scheduled prior to July 1.
Blog Entry List
The goal for Day One is that people get the care they need and providers get paid.
NC Medicaid is extending COVID-19 temporary provider rate increases for all providers except hospitals and clinical coverage policies through July 31, 2021.
The following services should continue to be billed through NCTracks.
An amended version of Clinical Coverage Policy 10C, Outpatient Specialized Therapies, Local Education Agencies is posted with an effective date of June 15, 2021.
Recent changes to federal regulations impact requirements for fingerprint-based background checks for some providers.
NCTracks continues sending notifications to update the identified provider’s expiring credentials in order to avoid suspension and potential termination from NC Medicaid.
Frequently Asked Questions for NC Medicaid Managed Care
This bulletin provides guidance to nursing facilities serving NC Medicaid-only residents transitioning to managed care on July 1.
Updates regarding the implementation of electronic visit verification (EVV) for managed care and NC Medicaid Direct, system updates, claim issues and resolution guide, July 9 outreach technical support webinar and a PCS services rate increase.
NC Medicaid implementation of Electronic Visit Verification (EVV) for the Innovations Waiver, TBI Waiver and (b)(3) services administered by the LME-MCOs has been moved to Aug. 31, 2021.
All Carolina Access Providers who received health equity payments are asked to complete this survey.
Beginning June 26, 2021, claims will suspend for providers who received notice but failed to meet the deadline by which the update was required.
Due to diminished need, NC Medicaid will no longer accept new requests to serve as a Response Facility from nursing homes, effective Monday, June 21, 2021.
Effective June 22, 2021, CPT 99401: Preventative medicine counseling and/or risk factor reduction intervention (s) provided to an individual, up to 15 minutes has been added to counsel Medicaid beneficiaries regarding the benefits of receiving the COVID-19 vaccine.