SPECIAL BULLETIN COVID-19 #119: NC Medicaid Extends Temporary Clinical Coverage Policy Provisions and Temporary Rate Enhancements

Note: This bulletin has been replaced by SPECIAL BULLETIN COVID-19 #134: Clarification of COVID-19 Temporary Rate Increases and Clinical Policy Changes in its entirety.

NC Medicaid is committed to ensuring beneficiaries continue to receive Medicaid and NC Health Choice services with no interruptions or delays due to COVID-19. Recently, the federal Declaration of Emergency scheduled to end July 25, 2020, was extended through Oct. 25, 2020. In response to this new date, NC Medicaid has extended its COVID-19 related temporary Clinical Coverage Policy provisions to Dec. 31, 2020. COVID-19 related rate enhancements are extended through Sept. 30, 2020.

Extended Temporary Clinical Policy Provisions

Temporary Clinical Coverage Policy modifications are extended through Dec. 31, 2020. Please refer to the relevant COVID-19 Medicaid Bulletins for details.  

Additionally, NC Medicaid is accepting public comment on proposed Medicaid and North Carolina Health Choice policies to adopt permanent changes based on certain temporary modifications. All stakeholders are encouraged to provide feedback. The process of making select temporary provisions permanent will continue through this calendar year.

Extended Temporary Rate Enhancements

NC Medicaid has determined that it is both necessary and feasible to continue temporary enhanced rates related to COVID-19 through Sept. 30, 2020. In the fall, NC Medicaid will reassess both needs and available funding. Please refer to relevant COVID-19 Medicaid Bulletins and Medicaid fee schedules for details. 

Contact

NCTracks Contact Center: 800-688-6696