Topics Related to All Providers
Some flexibilities will sunset on June 30, 2022
PA Resumes for Behavioral Health Services Effective July 15, 2022
Key milestones, playbook updates, verifying beneficiary eligibility, provider reverification, review provider record in NCTracks and more.
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