Stakeholder dialogs on ending CAP flexibilities coming soon
Topics Related to Community Alternatives Program (CAP/C & CAP/DA) Providers
Rate increase for EVV PCS claims
Sharing Vacant CAP/DA Slots and Waiver Amendments
Waiver extension has been approved by CMS
NC Medicaid has extended its deadline to February 2022 to send the renewed waiver application to the Centers for Medicare and Medicaid Services to request approval of the CAP/C waiver for another five years.
This Bulletin contains updates on the implementation of electronic visit verification (EVV) claims adjudication, entering manual visits, alternate EVV solutions, EVV system updates, EVV implementation for Innovations and TBI Waivers administered by LME-MCOs, EVV implementation for managed care health plans, and quick help tips and resources.
UPDATE Oct. 28, 2021: Procedure code T1004 has been removed from this list, as it is excluded, and was originally listed in error. EVV visits for respite services must follow EVV capture requirements.
NC Medicaid will end the pay and report period for Electronic Visit Verification (EVV) claims on May 31, 2021. A stakeholder meeting will be held on Friday, May 21, 2021, at 10 a.m. to share EVV implementation updates and provide training to support provider readiness for June 1, 2021.
NC Medicaid will end the pay and report period for Electronic Visit Verification (EVV) claims on May 31, 2021.
To ensure NC Medicaid continues to move forward with EVV implementation and can fully integrate EVV through claims adjudication for all providers, alternate EVV solutions must pass testing validation by April 30, 2021.