Blog Entry List
The Per Diem Rate Methodology for Congregate Settings effective April 1, 2025.
This corrects the end-date for code G9920 in the December 2024 bulletin.
NC Medicaid’s Electronic Visit Verification (EVV) system for Home Health ensures compliance with federal requirements
Information on Provider Ombudsman, CFSP, and Upcoming Credentialing Changes.
Feedback Requested on Proposed Approach.
The Centers for Medicare & Medicaid Services (CMS) is implementing 50 new procedure codes effective April 1, 2025.
Forum to be held June 4-5 in Raleigh.
Information on Hurricane Helene Flexibilities, OPR Updates, MFA for All NCTracks Users, and more
The Centers for Medicare & Medicaid Services has extended this service through March 31, 2025
Coverage has been restored to definitive drug testing codes that exceed seven drug classes retroactive to Dec. 1, 2024.
An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies with an effective date of March 1, 2025, was posted to the NC Medicaid Clinical Coverage Policy web page.Summary of UpdatesIn the table Related Clinical Coverage Policies, added reference to clinical coverage policy 3D, Hospice Services.The terms ‘approval,’ ‘authorization’ and ‘prior authorization’ were changed to ‘prior approval’ for consistency throughout.
Use Standard Plan and Tailored Plan provider portals or Real-Time Eligibility Electronic Data Interchange Transactions 270/271.
NC Medicaid added coverage for Healthcare Common Procedure Coding System (HCPCS) Code G0512 for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)