Consolidates provider data management and furnishes a centralized solution to coordinate enrollment, credentialing and ongoing data maintenance.
Topics Related to All Providers
Effective Dec. 1, 2022
An updated version effective Sept. 1, 2022, has been posted to the NC Medicaid Clinical Coverage Policy web page.
Revised EVV for Home Health Services implementation dates for NC Medicaid Direct, Standard Plans and Tailored Plans.
In May 2020, CMS updated the Minimum Data Set (MDS) 3.0 item sets to support calculation of Patient-Driven-Payment-Model (PDPM) case mix groups on OBRA assessments. In October 2020, NC Medicaid began requiring the completion and submission of the 28 MDS item set fields associated with PDPM on all OBRA nursing home comprehensive (NC) and quarterly (NQ) MDS assessment submissions.
Effective with date of service Jan. 1, 2023, the American Medical Association (AMA) has added new CPT codes, deleted others, and changed the descriptions of some existing codes. For complete information regarding all CPT codes and descriptions, refer to the 2023 edition of Current Procedural Terminology, published by the AMA.
Highlighting coverage, rate and resource changes in 2022
Last days for providers to have fully executed contracts with Tailored Plans to be included in the beneficiary choice period and auto-assignment.
Beneficiaries can apply for various benefits, view case details, renew their Medicaid and update their information
Changes requirement to “comprehensive annual exam or annual assessment” prior to providing family planning and related services.