Attention: All Providers
The following bulletin applies to NC Medicaid Direct and Medicaid Managed Care.
Providers can continue billing Diagnosis Related Group claims using revenue code 0161 for room and board and occurrence span code 82.
NC Medicaid published an article on Sept. 27, 2023, titled Hospital at Home Program Re-Launching for NC Medicaid. This bulletin provided instruction on how to bill for hospital level services in the home setting. This program was set to expire on Dec. 31, 2024, and then again March 31, 2025. The Centers for Medicare & Medicaid Services (CMS) has extended this service through Sept. 30, 2025.
Contact
NC Medicaid Contact Center: 1-888-245-0179
For beneficiaries enrolled in a Prepaid Health Plan, refer to Health Plan Contacts and Resources