Topics Related to Medicaid Direct

Reminder: NC Medicaid does not require Carolina Access/Advanced Medical Home referrals for specialty care.
Individual provider enrollment and Additional Managed Care Options
Policy is updated effective May 1, 2025
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