Blog Entry List

Interim Final Rule Omnibus COVID-19 Health Care Staff Vaccination
Update on temporary rates that are extending or being replaced with permanent, legislated increases.
Pharmacies can bill for FDA-approved in-home tests.
The Eligibility Portal is now available for registration and submission.
Provides an overview of the Department’s plans for promoting high-quality care through managed care and provides specific details to the measurement for the goals and objectives of the Department’s Quality Strategy.
Effective with the date of service Jan. 1, 2022, CMS has added new HCPCS codes, deleted others and changed the description of some existing codes.
Effective with date of service Dec. 1, 2021, Medicaid and NC Health Choice cover ranibizumab injection for intravitreal use via ocular implant.
Medicaid requires claims for CPT code 68761 be billed with one of four modifiers.
Additional information to what was published in COVID-19 #210
Jan. 28, 2022. Updated to include per diem rate increase and changes to the for submission of baseline wage data requirement regarding eligible direct care worker wage increase from eligible ICF-IID providers.
Eligible direct care workers to receive wage increase from eligible HCBS providers
Eligible direct care workers to receive one-time bonus from eligible providers
Oral tablets covered for those in a home setting
Certain immunocompromised children will qualify for third dose of Pfizer-BioN Tech Vaccine

Since the launch of NC Medicaid Managed Care on July 1, 2021, providers have submitted claims to the prepaid health plans (PHPs) for services provided to beneficiaries who are enrolled with that PHP.