Topics Related to Facilities

Effective Jan. 1, 2023, new HCPCS procedure code G0330, Facility Services Dental Rehab, will be added to Clinical Coverage Policy 4A, Dental Services.
Documents modifying the Skilled Nursing Facilities Provider Assessment and temporary COVID-19 add-on, and SNF per diem rates are impacted.
Includes HCPCS Code G0512 for RHCs and FQHCs
Form for nursing facilities and health plans to communicate with DSS
Certain nursing facility claims recently reprocessed with EOB 10354 did not reimburse as expected
Effective May 15, 2022, technical changes were made to address access to care concerns.
Under NC Medicaid Managed Care, the nursing facility level of care is approved by the Medicaid beneficiary’s assigned PHP.
The portal has been updated with an enhanced view of Financial and Testing submissions for participating providers.
Additional information on prior authorization is available.