Medicaid Bulletin

NC Medicaid’s Electronic Visit Verification (EVV) vendor, Sandata, will implement multi-factor authentication process for those accessing Sandata EVV and the Aggregator portals.

The program is seeking current Medicaid providers to become early adopters of two new use cases of the state-designated health information exchange.

This bulletin describes the changes required under CAA 5121 as well as reminders on the suspension of benefits during incarceration.

The Per Diem Rate Methodology for Congregate Settings effective April 1, 2025.

Public comments requested by May 7, 2025.

NC Medicaid’s Electronic Visit Verification (EVV) system for Home Health ensures compliance with federal requirements

Information on Provider Ombudsman, CFSP, and Upcoming Credentialing Changes.

This corrects the end-date for code G9920 in the December 2024 bulletin.

Feedback Requested on Proposed Approach.

The Centers for Medicare & Medicaid Services (CMS) is implementing 50 new procedure codes effective April 1, 2025.