Topics Related to All Providers
This bulletin replaces the Nov. 16, 2022, bulletin.
The latest updates on enrollees and services delivered, success stories and how Providers can refer Medicaid Members.
Effective Dec. 8, 2022
Effective Dec. 8, 2022
Open to providers who were due for reverification during the Public Health Emergency. Ends March 31.
Consolidates provider data management and furnishes a centralized solution to coordinate enrollment, credentialing and ongoing data maintenance.
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.