Effective Dec. 1, 2023, updates increased treatment visit limits for beneficiaries aged 21 and older. The home health ordering practitioner reference was also updated.
Topics Related to Specialized Therapy Providers
NCDHHS will implement an Electronic Visit Verification system for Home Health Care services starting with a soft launch Jan. 1, 2023, and a hard launch April 1, 2023. This complies with the 21st Century Cures Act.
Providers are required to complete the EVV readiness survey by July 22, 2022
A new PA is required for beneficiaries returning to NC Medicaid Direct.
EPSDT Prior Authorization Available July 1, 2022
EVV for Home Health in January 2023
PA Resumes for CDSAs Effective October 15, 2021
Effective Oct. 15, 2021, CDSAs and independent practitioners providing individualized family service plan services must resume submitting PA requests.
Updates to Clinical Coverage Policy 10B, Outpatient Specialized Therapies, Independent Practitioners
On July 1, 2021, an amended version of the policy was posted.
An amended version of Clinical Coverage Policy 10C, Outpatient Specialized Therapies, Local Education Agencies is posted with an effective date of June 15, 2021.