Frequently Asked Questions for NC Medicaid Managed Care
Blog Entry List
The following services should continue to be billed through NCTracks.
This bulletin provides guidance to nursing facilities serving NC Medicaid-only residents transitioning to managed care on July 1.
NCTracks continues sending notifications to update the identified provider’s expiring credentials in order to avoid suspension and potential termination from NC Medicaid.
Recent changes to federal regulations impact requirements for fingerprint-based background checks for some providers.
An amended version of Clinical Coverage Policy 10C, Outpatient Specialized Therapies, Local Education Agencies is posted with an effective date of June 15, 2021.
Updates regarding the implementation of electronic visit verification (EVV) for managed care and NC Medicaid Direct, system updates, claim issues and resolution guide, July 9 outreach technical support webinar and a PCS services rate increase.
NC Medicaid implementation of Electronic Visit Verification (EVV) for the Innovations Waiver, TBI Waiver and (b)(3) services administered by the LME-MCOs has been moved to Aug. 31, 2021.
All Carolina Access Providers who received health equity payments are asked to complete this survey.
Beginning June 26, 2021, claims will suspend for providers who received notice but failed to meet the deadline by which the update was required.
Effective June 22, 2021, CPT 99401: Preventative medicine counseling and/or risk factor reduction intervention (s) provided to an individual, up to 15 minutes has been added to counsel Medicaid beneficiaries regarding the benefits of receiving the COVID-19 vaccine.
Due to diminished need, NC Medicaid will no longer accept new requests to serve as a Response Facility from nursing homes, effective Monday, June 21, 2021.
NC Medicaid is seeking input on how North Carolina can most effectively allocate the funds.
Effective July 1, 2021, providers must use the most appropriate diagnosis code as the primary diagnosis for the well child exam.
NCTracks has continued sending reminder notices to providers advising of the requirement to update expiring credentials and keep them current.