Topics Related to All Providers

NC Department of Health and Human Services has announced two Requests for Applications (RFAs) to help communities heavily affected by COVID-19.

The following new or amended clinical coverage policies are available on the Clinical Coverage Policies web page on NC Medicaid’s website. 

Webinar for Medicaid Providers to be held July 27 at 3 p.m and Application Deadline Extended to Aug. 3.

This NC Medicaid Bulletin provides an  overview of COVID-19 rate increases applicable to SNFs and Hospice providers; Hospice provider rate increase from 95% to 100% of Skilled Nursing Facility (SNF) reimbursement rates for room and board services provided in a SNF; and billing guidelines for Hospice services provided in a SNF designated as a “COVID-19 Outbreak” or “COVID-19 Response” site.

On July 17, 2020, the Centers for Medicare & Medicaid Services announced that the deadline for Medicaid/CHIP providers to submit their financial data to apply for federal Provider Relief Funds has been extended to Aug. 3, 2020. 

Registration is open for the August 2020 NCTracks instructor-led provider training courses listed below. Slots are limited. WebEx courses can be attended remotely from any location with a telephone, computer and internet connection.

The Centers for Medicare & Medicaid Services (CMS) recently approved North Carolina’s Medicaid Disaster 1115 Waiver. The waiver includes several provisions that allow flexibility for long-term services and supports (LTSS) to maintain services for beneficiaries and financial relief for home and community-based service (HCBS) providers. 

North Carolina providers that participate in Medicaid may be eligible to receive federal relief as a result of lost revenue or new expenses relating to the COVID-19 Public Health Emergency.

Effective July 1, 2020, End Stage Renal Disease (ESRD) Treatment providers (261QE0700X) were added to the list of eligible providers for Procedure Code J0887, Mircera, Injection, Epoetin Beta, 1 Microgram, (FOR ESRD ON DIALYSIS). 

Effective Jan. 1, 2020, the title of Clinical Coverage Policy 1A-34 changed to Dialysis Services. In addition to the title change, the Division of Health Benefits will now cover services for Acute Kidney Injury (AKI).