Topics Related to AHEC, FQHC, RHC and LHD

The program is seeking current Medicaid providers to become early adopters of two new use cases of the state-designated health information exchange.

Feedback Requested on Proposed Approach.

NC Medicaid added coverage for Healthcare Common Procedure Coding System (HCPCS) Code G0512 for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)

This bulletin describes the changes required under CAA 5121 as well as reminders on the suspension of benefits during incarceration.

This survey provides a national standard for assessing beneficiaries’ health care experience.

Reimbursement methodology changes revised to begin with dates of service on or after Dec. 1, 2024.

Effective Aug. 1, 2022, only the technical component of an onsite radiology service performed at FQHCs/RHCs will be separately reimbursed by Medicaid

Select provider types enrolled in the NC Medicaid Program are required to file annual Medicaid cost reports utilizing cost reporting schedules which are based on approved Medicare cost reporting platforms.

NC Medicaid is temporarily increasing financial assistance to Federally Quality Health Centers (FQHCs) and Rural Health Centers (RHCs) to maintain critical access to care for Medicaid beneficiaries during the COVID-19 public health emergency. 

NC Medicaid is implementing additional rate increases to continue helping Local Health Departments (LHDs) to serve Medicaid beneficiaries during the COVID-19 public health emergency.