Updates for NC Immunization Program/Vaccines for Children and Medicaid Beneficiaries
Blog Entry List
Proposed CAP/C Waiver renewal posted for public comment
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.
Independent laboratories shall bill services to the hospital for whom they are providing clinical lab services. Hospitals should bill the PHPs.
CMS requires that all Medicaid providers are recredentialed
Base codes are aligned with related procedures in the same family; a new endoscopy family is also created. Effective in NCTracks July 31, 2022.
NCDHHS and NC AHEC are partnering to hold a webinar about the monkeypox outbreak and response efforts in North Carolina: Thursday, July 28, 2022 - 6-7:15 p.m.
Effective Aug. 1, 2022, only the technical component of an onsite radiology service performed at FQHCs/RHCs will be separately reimbursed by Medicaid