Providers should work with their Medicaid beneficiary’s health plan and Tailored Care Manager to transition the members to 1915(i) services.
Topics Related to Medicaid Direct
The Centers for Medicare & Medicaid Services has approved State Plan Amendments to revise reimbursement methodology.
Claims that reuse the same visit key for multiple dates of service, MIDs, NPIs or procedure codes will deny.
Effective with date of service Jan. 16, 2024, NC Medicaid covers benzathine benzylpenicillin (Extencilline)
This rate increase in the latest Physician Administered Drug Program fee schedule supports treating Medicaid members for Congenital Syphilis.
Fee schedule rate corrected on Feb. 5, 2024.
Policies to promulgate on May 1, 2024.
An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies with an effective date of Dec. 1, 2023, is posted.
CorDx, GoToKnow, FaStep COVID-19 AG Home Tests added to coverage.
Electronic Visit Verification for NC Medicaid-Funded Personal Care Services and Home Health Services
Manual entries and Sandata Mobile Connect 2.0.