Effective with date of service August 31, 2022, Medicaid and NC Health Choice cover Pfizer-BioNTech COVID-19 Vaccine
Blog Entry List
Providers are encouraged to review for an overview of other general language and formatting updates.
Effective with date of service Aug. 31, 2022, Medicaid and NC Health Choice programs cover Moderna COVID-19 Vaccine
Effective Oct. 1, 2022, Pluvicto must be billed with HCPCS code A9607
Effective Nov. 3, 2022, fee schedules currently listed on the NC Medicaid website will move to a new public fee schedule and covered code website.
The delay in conducting assessments has slowed the generation of prior approvals for the continuation of PCS.
Updated HCPCS Code, unit of coverage and maximum reimbursement rate
Key milestones, playbook updates, beneficiary eligibility, reverification, provider records, provider ombudsman, help center and webinars.
This bulletin specifies Medicaid flexibilities ending with the Hurricane Ian state of emergency and those remaining as part of the Federal COVID-19 public health emergency.
Medicaid Home Health Care Services subject to Electronic Visit Verification
For NC Medicaid Direct Home Health Care Service Providers Who Elect Sandata, NC Medicaid’s Free Solution
Form for nursing facilities and health plans to communicate with DSS
Claims submitted with missing or invalid billing, rendering, and/or attending provider taxonomy codes is a top reason for claim denials
Effective Oct. 1, 2022, Medicaid and NC Health Choice cover Ipratropium Bromide inhalation solution, 0.02%