This is a reminder to include taxonomy codes when submitting claims to PHPs, either by individual providers or through a trading partner.
Topics Related to All Providers
This Special Bulletin is being released to inform NC Medicaid providers of COVID-19 rate reimbursement that providers will receive from Prepaid Health Plans (PHPs) under NC Medicaid Managed Care.
ADDENDUM to Special Bulletin #168: The addendum was updated to include information regarding guidance on billing and coding criteria, guidance for parents, counseling methods, reimbursement ranges and the time frame during which the code is valid.
A new clinical coverage policy, 1S-5 Genetic Testing for Susceptibility to Breast and Ovarian Cancer, became effective July 1.
Additional information on prior authorization is available.
Carolina Access Providers who received health equity payments are asked to complete this survey by July 16.
Four Months Left to Submit Program Year 2021 Attestations and the Security Risk Analysis.
Updates to Clinical Coverage Policy 10B, Outpatient Specialized Therapies, Independent Practitioners
On July 1, 2021, an amended version of the policy was posted.
NC Medicaid wants to ensure that during the transition to NC Medicaid Managed Care that Medicaid beneficiaries receive the care they need as scheduled prior to July 1.
The goal for Day One is that people get the care they need and providers get paid.