Key milestones, playbook updates, verifying beneficiary eligibility, provider reverification, review provider record in NCTracks and more.
Topics Related to All Providers
The estimated effective date for this policy update is Aug. 1, 2022.
Providers who do not contract with Tailored Plans by the deadlines risk losing patients
NC Medicaid Direct PA effective begin and end dates will be modified to align with the individual’s eligibility segment.
A new PA is required for beneficiaries returning to NC Medicaid Direct.
Coverage for single booster dose
New billable codes available Sept.1 to address social drivers of health
Beginning Jan. 1, 2023, substantive portion means more than half of the total time spent by the physician and NPP performing the shared/split visit
An updated version of the policy with an amendment date of May 15, 2022, is posted.
Three claims processing edits to end with Public Health Emergency