An amended version of Clinical Coverage Policy 5B, Orthotics and Prosthetics promulgated on July 15, 2024.
Blog Entry List
The 2025 ICD-10 update is effective Oct. 1, 2024, through Sept. 30, 2025, for provider use for dates of service within this period.
Guidance based on products approved by the FDA and recommended by the CDC Advisory Committee on Immunization Practices (ACIP).
Reimbursement methodology changes revised to begin with dates of service on or after Dec. 1, 2024.
Coverage effective for dates of service from July 26, 2024
Rate Changes are Effective Aug. 1, 2024
Effective Aug. 25, 2024, providers cannot modify an existing service location address in NCTracks without creating a new service location address
The NC Medicaid Community Alternatives Program for Disabled Adults (CAP/DA) §1915(c) Home and Community-Based Services (HCBS) expires Oct. 31, 2024. NC Medicaid is seeking to renew the waiver for another five years.
Users must update their NCID profile by Sept. 6, 2024.
Clarification to recent policy and billing questions
Updates for providers on 1915(b)(3) services ending, new 1915(i) assessment tool and 1915(i) reassessments.
Information to share with beneficiaries to increase participation
Hardship advances may be available for those at risk of not meeting financial obligations
Effective Sept. 1, 2024, NC Medicaid will begin covering condoms and spermicides as over-the-counter products, through the pharmacy benefit.
GDIT will no longer request supplemental information for undisclosed items discovered during the credentialing and background check process.