Medicaid Bulletin

Beginning Jan. 1, 2023, home health care provider agencies subject to electronic visit verification (EVV) can use an Alternative EVV system (Alt EVV) of their choice and submit records to the Sandata Aggregator. This will comply with the 21st Century Cures Act for Electronic Visit Verification.

Pharmacy Point of Sale claims for members enrolled Tailored Plans will be managed by NCTracks when Tailored Plans launch through March 31, 2023.

From Dec. 1, 2022, to June 30, 2023, they will receive an enhanced medical home payment of $20 per member per month.

Materials to support providers in sharing information with beneficiaries

Key milestones, playbook updates, verifying eligibility, reverification and more

EVV Home Health Implementation Review and Updates

Vaccine administration code changes effective Aug. 1.

Certain nursing facility claims recently reprocessed with EOB 10354 did not reimburse as expected

CMS requires that all Medicaid providers are recredentialed

Independent laboratories shall bill services to the hospital for whom they are providing clinical lab services. Hospitals should bill the PHPs.