Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Hospital Procedure Continuity at NC Medicaid Managed Care Launch
NC Medicaid wants to ensure that during the transition to NC Medicaid Managed Care that Medicaid beneficiaries receive the care they need as scheduled prior to July 1.
SPECIAL BULLETIN COVID-19 #169: Temporary Provider Rate Increases and Clinical Policy Changes Extended
NC Medicaid is extending COVID-19 temporary provider rate increases for all providers except hospitals and clinical coverage policies through July 31, 2021.
Updates to Clinical Coverage Policy 10C, Outpatient Specialized Therapies, Local Education Agencies
An amended version of Clinical Coverage Policy 10C, Outpatient Specialized Therapies, Local Education Agencies is posted with an effective date of June 15, 2021.
Update Expiring Credentials to Avoid Claims Suspension
NCTracks continues sending notifications to update the identified provider’s expiring credentials in order to avoid suspension and potential termination from NC Medicaid.
Nursing Facilities Supporting NC Medicaid Only Residents Enrolled in NC Medicaid Managed Care: Prior Authorizations
This bulletin provides guidance to nursing facilities serving NC Medicaid-only residents transitioning to managed care on July 1.
NC Medicaid Managed Care Provider Update – June 29, 2021
Frequently Asked Questions for NC Medicaid Managed Care
Children’s Developmental Services Agency Providers Carved Out of Managed Care
The following services should continue to be billed through NCTracks.
Changes to Fingerprinting Requirements
Recent changes to federal regulations impact requirements for fingerprint-based background checks for some providers.
Electronic Visit Verification Updates
Updates regarding the implementation of electronic visit verification (EVV) for managed care and NC Medicaid Direct, system updates, claim issues and resolution guide, July 9 outreach technical support webinar and a PCS services rate increase.
Electronic Visit Verification Implementation Extended for Waiver and LME-MCO-related Services
NC Medicaid implementation of Electronic Visit Verification (EVV) for the Innovations Waiver, TBI Waiver and (b)(3) services administered by the LME-MCOs has been moved to Aug. 31, 2021.