Medicaid Bulletin

CPT Code Update: 2020

Tuesday, February 25, 2020

Effective with date of service Jan. 1, 2020, the Centers for Medicare & Medicaid Services (CMS) has identified some new CPT and HCPCS codes for reimbursement in ambulatory surgery.

Reminder Regarding the Naloxone Standing Order

Tuesday, February 18, 2020

The North Carolina State Health Director’s Standing Order for Naloxone authorizes any pharmacist practicing in the state of North Carolina and licensed by the North Carolina Board of Pharmacy to dispense naloxone to any person who meets the set criteria. 

Billing Code Update for Nurse Practitioners and Physician Assistants

Tuesday, February 18, 2020

NC Medicaid has provided instructions to NCTracks on updating the claims processing system. The following procedure code list has been updated recently to include additional NP and PA taxonomies. 

Behavioral Health I/DD Tailored Plan Request for Applications Pre-Release Policy Paper Webinar

Wednesday, February 5, 2020

On Monday, Feb. 10, 2020, the Department will host a webinar to discuss the Behavioral Health I/DD Tailored Plan Request for Applications (RFA) Pre-Release Policy Paper published on Jan. 30, 2020. 

Transition of Care Draft Policy Posting & Webinar

Wednesday, February 5, 2020

Today the Department of Health and Human Services issued the NC DHHS Transition of Care Draft Policy for public comments detailing the requirements under which the Standard Plan Prepaid Health Plans (PHPs) will facilitate transition of care for members transitioning between PHPs or service delivery systems. 

Clinical Coverage Policies

Tuesday, February 4, 2020

The following new or amended clinical coverage policies are available on the Clinical Coverage Policies web page on NC Medicaid’s website.

History Only Adjustments and Voids

Tuesday, February 4, 2020

This communication serves as an advisory notice for all providers. The intent is to increase awareness of history-only adjustments and voids within NCTracks. 

Reminder: Annual Office Visit Limit

Tuesday, February 4, 2020

North Carolina has an annual office visit limit for both mandatory and optional services within the Medicaid program.

NC Medicaid Electronic Health Record (EHR) Incentive Program Announcements

Tuesday, February 4, 2020

NC-MIPS is Open for Program Year 2019, The Security Risk Analysis, Reminder from CMS Regarding Objective 6 and Objective 7, Clarification from CMS Regarding Objective 5 Measure 1: Patient Electronic Access and General Reminders

Update: Provider Application Process for Tailored Care Management – extended deadlines

Monday, February 3, 2020

To ensure that the Department gives providers enough time to prepare their applications after the release of the finalized manual, the Department has decided to further extend the initial application deadline for providers from Feb. 21, 2020, to June 2020.

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