In consideration of the evolving needs for PCS providers, in place of the outbreak rates, NC Medicaid will provide all PCS providers, including CAP/C and CAP/DA, a single, uniform, temporary rate increase that will enable them all to better address the various increased costs associated with staffing during the COVID-19 PHE.
Topics Related to All Providers
The latest transition dates for county realignments.
This form is for members who wish to change their primary care assignment throughout the year.
The federal government has now extended the public health emergency (PHE) through Jan. 16, 2022.
Effective Oct. 22, 2021, NC Medicaid-enrolled providers can bill code 99401 with HM modifier for telephone outreach to unvaccinated Medicaid beneficiaries.
Clinical Coverage Policy 1E-6, Transitioned to Pregnancy Management Program Effective July 1, 2021.
Medicaid has become aware that some providers have rendered this service without obtaining prior approval.
Individual Provider Affiliation required for certain providers by Nov. 21, 2021. Keeping NCTracks records current can help claims processing.
Cost sharing, such as deductibles, coinsurance, or copayments are waived for any Medicaid service.
PA waiver extended to October 31, 2021