PA Resumes for Behavioral Health Services Effective July 15, 2022
Blog Entry List
The estimated effective date for this policy update is Aug. 1, 2022.
Key milestones, playbook updates, verifying beneficiary eligibility, provider reverification, review provider record in NCTracks and more.
Rate increase for EVV PCS claims
Providers who do not contract with Tailored Plans by the deadlines risk losing patients
Coverage for single booster dose
A new PA is required for beneficiaries returning to NC Medicaid Direct.
Effective Sept. 1, 2022, codes submitted without modifier LT (left), or RT (right) will be denied
NC Medicaid Direct PA effective begin and end dates will be modified to align with the individual’s eligibility segment.
New billable codes available Sept.1 to address social drivers of health
EPSDT Prior Authorization Available July 1, 2022
An updated version of the policy with an amendment date of May 15, 2022, is posted.
Prior to submitting an application for Advanced Medical Home/Care Management Agency Certification, please download and utilize the Provider Directory Listing Report.
Three claims processing edits to end with Public Health Emergency
Beginning Jan. 1, 2023, substantive portion means more than half of the total time spent by the physician and NPP performing the shared/split visit