An amended version is posted with an effective date of Aug. 1, 2022
Topics Related to Durable Medical Equipment Providers
Pharmacy Point of Sale claims for members enrolled Tailored Plans will be managed by NCTracks when Tailored Plans launch through March 31, 2023.
Effective Sept. 1, 2022, codes submitted without modifier LT (left), or RT (right) will be denied
An updated version of the policy with an amendment date of May 15, 2022, is posted.
An amended version of Clinical Coverage Policy 5A-2, Respiratory Equipment and Supplies with an effective date of Feb. 1, 2022, is posted.
DME/POS providers may issue medically necessary equipment & supplies
Durable Medical Equipment (DME) is covered under NC Medicaid Managed Care for beneficiaries enrolled in a managed care plan and under NC Medicaid Direct for those beneficiaries who remain in NC Medicaid Direct.
Medicaid is adding codes into NCTracks to report negative pressure wound therapy utilizing disposable, non-durable medical equipment.
An amended version of Clinical Coverage Policy 5A-2, Respiratory Equipment and Supplies with an effective date of April 1, 2021, was posted to the NC Medicaid Clinical Coverage Policy web page.
An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies with an effective date of April 1, 2021, was posted to the NC Medicaid Clinical Coverage Policy web page.