Providers should resubmit claims with 0261 revenue code
Blog Entry List
Key dates, playbook updates, Behavioral Health services to transition, provider reverification and more
Human Service Organizations are required to enroll as Medicaid providers through NCTracks.
Effective April 1, 2022, NC Medicaid coverage for pregnant beneficiaries will extend to the last day of the month in which the 12-month postpartum period ends.
Optional Eligibility Group and HRSA Group are different
Clinical Coverage Policy 1E-6, Pregnancy Medical Home is being replaced with Pregnancy Management Program effective July 1, 2021.
CMS PERM audit educational provider webinar to be held in April 2022
Effective May 1, 2022, claims with Rev Code 025x and 063x will deny without appropriate documentation of NDC and HCPCS codes.
Changes include Medicaid for Pregnant Women coverage for 12 months postpartum.
Continued Eligibility Reviews and Bonus Payments
For dates of service beginning April 1, 2022, the ICF-IID provider assessment per licensed bed day will increase to $27.30.
Behavioral health services to transition to Tailored Plans in December 2022
Coverage date has been extended from March 31, 2022, to the end of the federal Public Health Emergency
March 2022 detail on continuing, end-dating and revised rates
New Legislation Extends Medicaid for Pregnant Beneficiaries from 60 Days to 12 Months After Birth Effective April 1, 2022.