Medicaid Bulletin
Medicaid Bulletin Monthly Digest
Bulletins published prior to January 2019
Articles since January 2018 are available in the blog format below.
NCTracks Common Questions: Currently Enrolled Provider vs. Office Administrator Change Process
There has been some confusion over the difference between the currently enrolled provider (CEP) registration and the office administrator (OA) change process. To understand which you may need to use, please see the explanations below.
Sterilization Consent Form
The sterilization consent form found on the U.S. Department of Health & Human Services (HHS) website has been updated.
Updates to the NC Medicaid Electronic Health Record (EHR) Incentive Program
There are only three months left to submit an attestation for Program Year 2018. Providers have until Apr. 30, 2019 to submit a complete and accurate attestation for Program Year 2018.
Clinical Coverage Policies
The following new or amended clinical coverage policies are available on NC Medicaid’s website. These policies supersede previously published policies and procedures.
NCTracks Provider Training Available in February 2019
Registration is open for the February 2019 instructor-led provider training courses listed below. Slots are limited. WebEx courses can be attended remotely from any location with a telephone, computer and internet connection. Please note that the WebEx information has changed.
Policy Clarification for Out-of-state Providers
Out-of-state providers, including border-area providers, must be enrolled in Medicare or their home-state Medicaid program to enroll in NC Medicaid and Health Choice programs.
Endoscopy Code Families Updated in NCTracks
NC Medicaid has completed updating endoscopy codes in NCTracks, aligning base codes with related procedures in the same family as well as creating three new endoscopy families in NCTracks.
New Rules for Abandoned Applications in NCTracks
Effective Jan. 27, 2019, abandoned applications are subject to new rules in NCTracks. While the process for addressing incomplete applications will not change, the timeframes allowed for the submission of documentation are revised.
Clarification on Billing for Long Acting Reversible Contraceptives (LARCs)
For clarification purposes of information communicated in October 2018 Medicaid Bulletin, please note that effective Oct.
Centralized Credentialing Vendor Selected for NC Medicaid
A contract has been awarded to Wipro Infocrossing to serve as the Provider Data Contractor (PDC), as NC Medicaid transitions to Managed Care.
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