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.
Blog Entry List
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.
Certain immunocompromised children will qualify for third dose of Pfizer-BioN Tech Vaccine
Oral tablets covered for those in a home setting
Additional information to what was published in COVID-19 #210
Eligible direct care workers to receive one-time bonus from eligible providers
Eligible direct care workers to receive wage increase from eligible HCBS providers
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.
Effective Jan 9, 2022, NCTracks will no longer require Medicaid and NC Health Choice providers to pay the $100 NC application fee with enrollment and reverification applications.
FDA has expanded the use of single booster dose to include ages 12-15.
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.
Reinstatement of temporary suspension of prior authorization for inpatient rehabilitation hospital and long-term care hospital admissions under NC Medicaid Managed Care.
Emergency use of Evusheld approved by FDA