The December 2021 NC Medicaid Personal Care Services Public Health Emergency Uniform rates previously released in Special Bulletin COVID-19 #194 are being revised effective Dec. 1, 2021.
Topics Related to COVID-19
NC Medicaid is extending all current COVID-19 temporary provider rate increases through Dec. 31, 2021.
Effective with date of service Jan. 1, 2022 (updated from Sept. 29, 2021), the Medicaid and NC Health Choice programs cover Pfizer-BioNTech COVID-19 Vaccine (12 years of age and older).
Effective Nov. 1, 2021, involuntary disenrollments from the Program of All-inclusive Care for the Elderly will no longer be suspended for any reason.
Pfizer Pediatric COVID-19 vaccine is authorized for use under an Emergency Use Authorization for active immunization to prevent COVID-19.
Update on COVID-19 booster shot recommendations for Pfizer, Moderna and Janssen
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.
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.
In response to the COVID-19 public health emergency, the Centers for Medicare and Medicaid Services (CMS) is implementing 12 new procedure codes to describe the introduction or infusion of therapeutics into the International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS), effective Aug. 1, 2020.