Coverage effective for dates of service from July 26, 2024
Blog Entry List
Rate Changes are Effective Aug. 1, 2024
Effective Aug. 25, 2024, providers cannot modify an existing service location address in NCTracks without creating a new service location address
The NC Medicaid Community Alternatives Program for Disabled Adults (CAP/DA) §1915(c) Home and Community-Based Services (HCBS) expires Oct. 31, 2024. NC Medicaid is seeking to renew the waiver for another five years.
Users must update their NCID profile by Sept. 6, 2024.
Clarification to recent policy and billing questions
Updates for providers on 1915(b)(3) services ending, new 1915(i) assessment tool and 1915(i) reassessments.
Information to share with beneficiaries to increase participation
Hardship advances may be available for those at risk of not meeting financial obligations
Effective Sept. 1, 2024, NC Medicaid will begin covering condoms and spermicides as over-the-counter products, through the pharmacy benefit.
Effective July 30, 2024, NC Medicaid temporarily paused coverage of HCPCS code A0998 (Ambulance response and treatment, no transport).
GDIT will no longer request supplemental information for undisclosed items discovered during the credentialing and background check process.
Effective Sept. 1, 2024, hospital OST claims submitted to NCTracks must include the individual OPR NPI.
Describes findings from the third assessment of provider experience and satisfaction with the NC Medicaid program.
Two FASTEP COVID 19 AG HOME TEST NDCs added to coverage.