Organizational providers with certain taxonomies must have at least one active affiliated individual provider with one active taxonomy by Nov. 21, 2021.
Blog Entry List
All submissions are due Friday, Oct. 15, 2021.
Final Extension of Electronic Visit Verification Soft Launch for Prepaid Health Plans
The prior authorization waiver is extended to Oct. 15.
NC Medicaid is updating the special focused financial assistance to Skilled Nursing Facilities provided through outbreak rates.
All state Medicaid programs are required to incorporate methodologies.
On Sept. 24, 2021, the Centers for Disease Control and Prevention (CDC) made the following recommendations:
This Special Bulletin updates SPECIAL BULLETIN COVID-19 #177: Casirivimab and Imdevimab Approved for Emergency Use.
NC Medicaid reimburses for the provision of the vaccine at the same rate as Medicare and is creating an additional payment to encourage access to vaccines during the Public Health Emergency.
The webinar series runs from October through mid-December.
Effective Sept. 1, 2021, the Acute Hospital Care at Home (HAH) program will be available to North Carolina hospitals that have been granted a waiver from CMS and service NC Medicaid beneficiaries. NC Medicaid is planning to implement this program to be effective Sept. 1 through Dec. 31, 2021, unless this flexibility is terminated prior to Dec. 31, 2021.
Effective June 8, 2021, Medicaid will pay an extra $35, in addition to the standard administration payment (approximately $40 per COVID-19 vaccine dose), for a total payment of approximately $75 for a vaccine dose administered in a patient's home.
The NCTracks provider record serves as the source of truth for managed care entities.
Due to the rapid increase in COVID infection and related hospitalization occupancy, NC Medicaid is reactivating its consideration of Response Facility Designation Requests submitted by skilled nursing facilities.
NC Medicaid is extending all current COVID-19 temporary provider rate increases through Nov. 30, 2021. While the rate increases for providers authorized under SL 2020-4 were set to expire on June 30, 2021, NC Medicaid has discretion to continue these and other temporary rate increases assuming budget availability.