Blog Entry List
Effective with date of service Feb 1, 2022, the Medicaid and NC Health Choice programs cover pemetrexed injection, for intravenous use (Pemfexy™).
With the end of the Federal Public Health Emergency, NCTracks will resume the provider reverification process.
Medicaid and prepaid health plans (PHPs) have identified a trend in claim denials related to taxonomy enrollment and credentialing.
Important information to share with patients
Sharing Vacant CAP/DA Slots and Waiver Amendments
CDC implementing twelve new codes; now available in NCTracks
Certain COVID-19 Flexibilities implemented by NC Medicaid under State Authority will be end-dated as of March 31, 2022
Bonus amount, timeline and continuing reviews
Revisions to NCTracks rate for SNFs
Waiver extension has been approved by CMS
Approved for treatment of mild to moderate COVID-19
Detail on continuing, end-dating and revised rates
Upcoming Key Milestones, Playbook Updates, COVID-19 Vaccine Incentive Program, Prior Authorizations, Provider Ombudsman, Help Center, Provider Directory and Health Plan Loop-Up Tool
New legislation extends Medicaid for pregnant Beneficiaries to 12 Months after birth - effective April 1, 2022.
An updated version of Clinical Coverage Policy 5B, Orthotics and Prosthetics with an effective date of Feb. 1, 2022, is posted.