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
Approved for treatment of mild to moderate COVID-19
Waiver extension has been approved by CMS
Revisions to NCTracks rate for SNFs
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.