Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

SPECIAL BULLETIN COVID-19 #178: Temporary Provisions for COVID Surge: Post-Acute PA Exceptions and Hospital at Home Program
Temporary Suspension of Prior Authorization for Post-Acute Placements and Temporary Availability of the Hospital at Home Program
SPECIAL BULLETIN COVID-19 #177: Casirivimab and Imdevimab Approved for Emergency Use
Casirivimab and Imdevimab have been given emergency use authorization for treatment of mild to moderate COVID-19 in some patients.
Single State Audit SFY2021
OSA has begun the Single Audit for state fiscal year 2021
Medicaid Claims Documentation: 2020 Single State Audit
Tips for providers to reduce the likelihood of future documentation errors
Influenza Vaccine and Reimbursement Guidelines for 2021-2022 for NC Medicaid and NC Health Choice
Billing codes for Medicaid beneficiaries
Eyeglasses Prior Approval and Dispensing Fee Claims Submission When a Beneficiary Transitions to NC Medicaid Direct – Aug. 30, 2021
This replaces the bulletin, published on Aug. 4, 2021
Electronic Visit Verification Soft Launch Update for PHPs and LME/MCOs
Providers rendering personal care services subject to EVV through the prepaid health plan payer type have until Oct. 1, 2021 to complete EVV credentialing and begin processing EVV claims.
Rebate Eligible Prescription Drug Coverage by Prepaid Health Plans
PHPs are required to provide drug coverage to Medicaid beneficiaries consistent with the drug coverage determined by NC Medicaid under fee for service.
In-Network Provisions Extended Through September
To support providers during the recent COVID-19 surge, the policy for in-network provider provisions has been extended
Claims Denied – Taxonomy Codes Missing, Incorrect, or Inactive
Taxonomy codes must be included when submitting claims to prepaid health plans