SPECIAL BULLETIN COVID-19 #166: NC Medicaid to Sunset CARES Act Funding Support for Nursing Facility Staff Testing Costs

NC Medicaid will sunset its CARES Act funded reimbursement of nursing facility staff COVID-19 testing in June 2021. This bulletin provides an update on processing timelines for previously submitted cases and provides additional guidance for final payments under this initiative.

NC Medicaid will sunset its CARES Act funded reimbursement of nursing facility staff COVID-19 testing in June 2021. This bulletin provides an update on processing timelines for previously submitted cases and provides additional guidance for final payments under this initiative.

For additional context and information, please reference:

SPECIAL BULLETIN COVID-19 #164: Update on CARES Act-funded Payments to Nursing Facility Providers for Staff Testing Costs

SPECIAL BULLETIN COVID-19 #146: Update on CARES Act-Funded Payments to Nursing Facility Providers and Availability of Extension Funding

SPECIAL BULLETIN COVID-19 #129: Reporting Requirements and Financial Support to Nursing Homes under Secretarial Order No.2

Updates on Outstanding Payments for Submitted Payments

NC Medicaid will release its next round of payments for nursing facility staff COVID-19 testing to Medicaid enrolled providers in NCTracks Checkwrite 22  (June 2, 2021), as published on the NC Tracks Provider Page.  This will include previously submitted valid cases under Extension Payment not yet paid.

NOTE: This reimbursement timetable may be delayed for non-enrolled Medicaid providers.

DHHS to Sunset Nursing Home Staff COVID-19 Testing Cost Payments in June

NC Medicaid will issue its final payment under this initiative to Medicaid-enrolled providers in NC Tracks Checkwrite 25 (June 22, 2021).

NC Medicaid will align its timetable for payment to non-enrolled providers with Checkwrite 25 to the extent possible.

All providers must submit any remaining cases not previously submitted under the Extension Funding option no later than Monday, June 14, 2021. Cases for dates of service prior to Dec. 30, 2020, will not be accepted. Any case submitted after June 14, 2021, will be considered late and not processed.

The last appropriate date of service for testing activity costs referenced in this Special Bulletin will be Sunday, June 13, 2021.

As a reminder from previous trainings and Special Bulletin #146, providers are required to submit both a valid invoice and a staff roster with each Actual Case submission. Failure to do so will result in a delay and potential denial of related payment. The staff roster for Extension Funding payments is linked here.

All payments referenced in this Special Bulletin are subject to continued CARES Act funding availability.

If you have questions, please email: Medicaid.ProviderReimbursement@dhhs.nc.gov

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