Blog Entry List
The federal COVID-19 Public Health Emergency (PHE) ends today, May 11, 2023. This bulletin contains information on the reverification process.
The federal COVID-19 Public Health Emergency (PHE) will end May 11, 2023. This bulletin contains important information on the reverification process.
Federal support ending for Resource Utilization Groups III and IV on federally required assessments for patients effective Oct. 1, 2023.
Effective with date of service Jan. 27, 2023, Medicaid and NC Health Choice cover lenacapavir injection
Effective with date of service Jan. 30, 2023, the Medicaid and NC Health Choice programs cover bendamustine hydrochloride injection, for intravenous use (Baxter).
Effective with date of service Jan. 27, 2023, the Medicaid and NC Health Choice programs covers ublituximab-xiiy injection, for intravenous use (Briumvi)
Effective with date of service Jan. 20, 2023, the Medicaid and NC Health Choice programs cover fecal microbiota, live - jslm suspension, for rectal use (Rebyota).
Pegfilgrastim-FpgkInjection, for Subcutaneous Use (Stimufend®) HCPCS Code J3590 - Billing Guidelines
Effective with date of service Jan. 23, 2023, the Medicaid and NC Health Choice programs cover pegfilgrastim-fpgk
In compliance with federal requirements, beneficiary consent is required for all voluntary sterilizations.
Effective immediately, all providers must use the Electronic Visit Verification vendor of their choice for every home health visit.
Effective April 1, 2023, NC Medicaid covers ambulatory blood pressure monitoring. This helps confirm or exclude suspected hypertension.
Clarifies requirements related to Research Based-Behavioral Health Treatment and Specialized Consultative Services and New Taxonomy
Providers are required to make adequate provision for return of any money incorrectly collected
CCP 1A-39 has been updated to reflect changes in 1905(a) of the Social Security Act