Blog Entry List
Provider manual update, guidance on position qualifications, phased assignment approach for Tailored Care Management providers and more.
NC Medicaid is sharing a list of member counts for Advanced Medical Home practices affiliated with Tailored Plans
Effective June 22, 2022, Medicaid and NC Health Choice cover Nalmefene hydrochloride injection (Revex™)
The PDAP Medicaid fee schedule requires multiple rate updates
Effective June 21, 2022, Medicaid and NC Health Choice cover Vutrisiran injection, for subcutaneous use (Amvuttra).
Effective June 22, 2022, Medicaid and NC Health Choice cover Risankizumab-rzaa Injection, for intravenous use (Skyrizi).
CAHPS is a patient experience survey that serves as a national standard for measuring and reporting respondents’ experiences with their health care.
Evaluates the impact of the North Carolina Medicaid Transformation on primary care and obstetrics/gynecology (Ob/Gyn) practices
Quality metrics that will assess health plans’ performance across their populations
An amended version is posted with an effective date of Aug. 1, 2022
A delay in identifying individuals in NCTracks as dually eligible for Medicare and Medicaid has been discovered.
Updates for NC Immunization Program/Vaccines for Children and Medicaid Beneficiaries
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.