Medicaid Bulletin

The federal government has now extended the public health emergency (PHE) through Jan. 16, 2022.

Effective Nov. 01, 2021, all encounters subject to EVV will require an EVV visit history.

Effective Oct. 18, 2021, providers experiencing EVV user error claim denials will not be granted hardship advance.

Effective Oct. 22, 2021, NC Medicaid-enrolled providers can bill code 99401 with HM modifier for telephone outreach to unvaccinated Medicaid beneficiaries.

Effective with date of service Aug. 27, 2021, NC Medicaid covers selexipag for injection.

Medicaid has become aware that some providers have rendered this service without obtaining prior approval.

Clinical Coverage Policy 1E-6, Transitioned to Pregnancy Management Program Effective July 1, 2021.

Effective with date of service Aug. 10, 2021, NC Medicaid covers avalglucosidase alfa-ngpt for injection.

Cost sharing, such as deductibles, coinsurance, or copayments are waived for any Medicaid service.

Individual Provider Affiliation required for certain providers by Nov. 21, 2021. Keeping NCTracks records current can help claims processing.