Topics Related to All Providers

Includes provider recredentialing/reverification, billing requirement modifications, Tailored Plan implementation, upcoming key milestones, playbook updates and more.

All Home Health Care providers are expected to be fully compliant with requirements on Oct. 1, 2023.

Updates include updated policies on Acuity Tiers, Acuity-Based Contacts and Contact Monitoring.

This bulletin provides details on coverage for COVID-19 Vaccines and COVID-19 Counseling after the ending of the Federal Public Health Emergency.

The North Carolina Department of Health and Human Services recently awarded Acentra Health the contract as the Comprehensive Independent Assessment Entity (CIAE) for NC Medicaid.  

Effective July 1, 2023, NC Medicaid has increased the Medicaid rate for Maternal Bundled Payments for pregnancy care.

A draft application for § 1915 (c) NC Innovation Waiver is posted for a 30-day public comment period.

The report and instructions for completing the report are updated to capture additional information needed for Credit Balance Audits

Beneficiaries who will be covered by the Tailored Plans will continue to receive care as they do today.

Includes an overview of the newest Center for Medicare and Medicaid Innovation payment model for Medicare, NC Medicaid’s involvement and timelines.