Blog Entry List
Recent State Plan Amendment outlines duties of a responsible third party
The Centers for Medicare & Medicaid Services has approved State Plan Amendments to revise reimbursement methodology.
Revised policy in addition to services outlined in Maternity Coverage and Reimbursement Bulletin posted Oct. 23, 2023.
Updates on the Sandata mobile app, telephony and fixed visit verification.
Providers should work with their Medicaid beneficiary’s health plan and Tailored Care Manager to transition the members to 1915(i) services.
Highlights from Year 2
The next review panel meeting is April 11, 2024
This website includes resources to assist with completing the NC Medicaid application and information about becoming a Medicaid Ambassador.
Includes information on Provider Fact Sheets, LME/MCO consolidation, Innovations and TBI waivers, federal fee increase, updates to NCTracks and more.
Tobacco-Related Policy Requirements Delayed until July 1, 2027
Clinical Coverage Policy 8A, Enhanced Mental Health and Substance Abuse Services Update
An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies promulgated on March 1, 2024, with an effective date of Jan. 1, 2024.
Additional Provider Flexibilities to Support Providers during Change Healthcare Disruption
Claims that reuse the same visit key for multiple dates of service, MIDs, NPIs or procedure codes will deny.