This bulletin provides guidance to nursing facilities serving NC Medicaid-only residents transitioning to managed care on July 1.
Blog Entry List
The following services should continue to be billed through NCTracks.
Frequently Asked Questions for NC Medicaid Managed Care
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.
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.
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.
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.
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.
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.
Key milestone dates, where to turn for help, Provider Playbook, PHP quick reference guides, webinars, Provider Directory, Help Center and Provider Ombudsman.
NCTracks has continued sending reminder notices to providers advising of the requirement to update expiring credentials and keep them current.
In October 2021, NC Medicaid will implement a time-weighted reimbursement methodology for nursing home providers.
Effective for dates of service on or after July 1, 2021, prior approval for solid organ and stem cell transplants will no longer be required.