Topics Related to Personal Care Services Providers

Update on NC Medicaid Temporary Flexibilities Due to Hurricane Helene – October 1, 2024

This is an update to a bulletin published on Sept. 26, 2024, regarding flexibilities related to Hurricane Helene for NC Medicaid beneficiaries.

Community Alternatives Program for Disabled Adults 1915(c) Home and Community-Based Services Waiver Renewal

The NC Medicaid Community Alternatives Program for Disabled Adults (CAP/DA) §1915(c) Home and Community-Based Services (HCBS) expires Oct. 31, 2024. NC Medicaid is seeking to renew the waiver for another five years.

NC Medicaid Long Term Services and Supports to hold Provider Forum

Forum to be held Tuesday, June 25 in Concord.

Electronic Visit Verification Capture Updates

Updates on the Sandata mobile app, telephony and fixed visit verification.

Instances where Electronic Visit Verification Claims for NC Medicaid Direct will Deny

Claims that reuse the same visit key for multiple dates of service, MIDs, NPIs or procedure codes will deny.

Community Alternative Program (CAP) Personal Care Services (PCS) Rate Update

Fee schedule rate corrected on Feb. 5, 2024.

Electronic Visit Verification for NC Medicaid-Funded Personal Care Services and Home Health Services

Manual entries and Sandata Mobile Connect 2.0.

Legislated Medicaid Provider Rate Increases: Skilled Nursing Facilities (SNF), Personal Care Services (PCS), and Private-Duty Nursing (PDN)

This bulletin provides updates on NC Medicaid programs that received legislative increases to service rates in the Current Operations Appropriations Act of 2023 (SL 2023-134).

Update on PASRR Level II Processing Transition to Acentra Health

Mitigation process for any adverse impact for nursing facilities if a PASRR authorization is delayed.

Transition Dates Announced for NC Medicaid’s Comprehensive Independent Assessment Entity

NC Medicaid Direct programs will transition to NCLIFTSS by Oct. 6, 2023