Certain nursing facility claims recently reprocessed with EOB 10354 did not reimburse as expected
Topics Related to Facilities
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.
PA waiver extended to October 31, 2021
The portal has been updated with an enhanced view of Financial and Testing submissions for participating providers.
Additional information on prior authorization is available.
NC Medicaid wants to ensure that during the transition to NC Medicaid Managed Care that Medicaid beneficiaries receive the care they need as scheduled prior to July 1.
This bulletin provides guidance to nursing facilities serving NC Medicaid-only residents transitioning to managed care on July 1.
Due to diminished need, NC Medicaid will no longer accept new requests to serve as a Response Facility from nursing homes, effective Monday, June 21, 2021.
End-Dating the Use of Taxonomy Code 313M00000X (Nursing Home-Intermediate Level of Care) From Provider Permissions Matrix, Continuation of Temporary Suspension of Level I and Level II Assessments for New Nursing Home Admissions, NCMUST Webpage Update, PASRR Submission and Required Supporting Documentation