The Per Diem Rate Methodology for Congregate Settings effective April 1, 2025.
Topics Related to Medicaid Direct
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.
An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies with an effective date of March 1, 2025, was posted to the NC Medicaid Clinical Coverage Policy web page.
The PREP Act is extended to Dec. 31, 2029, expanding COVID-19 and flu vaccine access at pharmacy Point-of-Sale for ages 3 and older.