Individual provider enrollment and Additional Managed Care Options
Blog Entry List
Theme: “We’re All in This Together 3.0”
Effective April 1, 2025: NC Medicaid amended Clinical Coverage Policy 1G-2.
Policy is updated effective May 1, 2025
Effective May 1, 2025, NC Medicaid will provide coverage for CPT Code 0421U – ColoSense, a multi-target stool RNA-based colorectal cancer screening test.
Effective May 1, 2025, NC Medicaid covers CPT 99483, Cognitive Assessment and Care Plan Service.
Option to Create Secondary/Back-up Office Administrators
Changes to the NCTracks provider application are coming in 2025.
NC Medicaid implements a more efficient method for submitting revision requests in active Clinical Coverage Policies.
Committee to make final decisions on submitted applications, quality determinations and compliance with regulatory requirements.
Public Comments Requested by May 30, 2025.
Providers should be aware of recent changes for Skilled Nursing Facilities, Hospice Organizations, and Portable X-ray Suppliers taxonomies.
The program is seeking current Medicaid providers to become early adopters of two new use cases of the state-designated health information exchange.
NC Medicaid’s Electronic Visit Verification (EVV) vendor, Sandata, will implement multi-factor authentication process for those accessing Sandata EVV and the Aggregator portals.
This bulletin describes the changes required under CAA 5121 as well as reminders on the suspension of benefits during incarceration.