Policy is updated effective May 1, 2025
Topics Related to Medicaid Direct
Public Comments Requested by May 30, 2025.
NC Medicaid’s Electronic Visit Verification (EVV) vendor, Sandata, will implement multi-factor authentication process for those accessing Sandata EVV and the Aggregator portals.
The Per Diem Rate Methodology for Congregate Settings effective April 1, 2025.
NC Medicaid’s Electronic Visit Verification (EVV) system for Home Health ensures compliance with federal requirements
This corrects the end-date for code G9920 in the December 2024 bulletin.
The Centers for Medicare & Medicaid Services (CMS) is implementing 50 new procedure codes effective April 1, 2025.
The Centers for Medicare & Medicaid Services has extended this service through March 31, 2025
Coverage has been restored to definitive drug testing codes that exceed seven drug classes retroactive to Dec. 1, 2024.
Use Standard Plan and Tailored Plan provider portals or Real-Time Eligibility Electronic Data Interchange Transactions 270/271.