Evaluates the impact of the North Carolina Medicaid Transformation on primary care and obstetrics/gynecology (Ob/Gyn) practices
Blog Entry List
CAHPS is a patient experience survey that serves as a national standard for measuring and reporting respondents’ experiences with their health care.
An amended version is posted with an effective date of Aug. 1, 2022
Quality metrics that will assess health plans’ performance across their populations
A delay in identifying individuals in NCTracks as dually eligible for Medicare and Medicaid has been discovered.
Proposed CAP/C Waiver renewal posted for public comment
Updates for NC Immunization Program/Vaccines for Children and Medicaid Beneficiaries
Beginning Jan. 1, 2023, home health care provider agencies subject to electronic visit verification (EVV) can use an Alternative EVV system (Alt EVV) of their choice and submit records to the Sandata Aggregator. This will comply with the 21st Century Cures Act for Electronic Visit Verification.
Pharmacy Point of Sale claims for members enrolled Tailored Plans will be managed by NCTracks when Tailored Plans launch through March 31, 2023.
From Dec. 1, 2022, to June 30, 2023, they will receive an enhanced medical home payment of $20 per member per month.
Key milestones, playbook updates, verifying eligibility, reverification and more
Materials to support providers in sharing information with beneficiaries
EVV Home Health Implementation Review and Updates
Certain nursing facility claims recently reprocessed with EOB 10354 did not reimburse as expected
Vaccine administration code changes effective Aug. 1.