Medicaid Bulletin

Effective Jan. 1, 2021, Personal Care Services and Community Alternatives Programs providers subject to Electronic Visit Verification will no longer be able to submit claims using span dating.

NCDHHS has launched a new Beneficiary Portal on the NC Medicaid website. The portal will serve as a centralized information resource center for current Medicaid beneficiaries and those wishing to apply for Medicaid benefits. It also offers information about Medicaid Managed Care, set to launch July 1, 2021.

NC-MIPS is Open for Program Year 2020, Program Year 2020 Webinar Series, The Security Risk Analysis and Program Year 2021 Announcements.

Effective July 1, 2020, End Stage Renal Disease Treatment providers (261QE0700X) were added to the list of eligible providers for Procedure Code J0887, Mircera Injection, Epoetin Beta, 1 Microgram. 

As announced previously, providers should not be submitting original claims for home health services using Bill Type 33X. Effective immediately, providers should use Bill Type 32X or 34X.

Updates on the consent form expiration date and clarifications related to the Aug. 15, 2020 policy update.

The Department is releasing a Notice of AMH Policy Changes requiring modifications to Advanced Medical Home Provider Contract Templates memo.

This Bulletin replaces SPECIAL BULLETIN COVID-19 #22 in its entirety. NC Medicaid has updated its emergency planning document called an Appendix K to expand its flexibilities on how Medicaid providers and beneficiaries may access and receive home- and community-based services (HCBS) through the CAP waivers in the wake of COVID-19, previously referenced in SPECIAL BULLETIN COVID-19 #22.

For inclusion in open enrollment and auto-enrollment, provider contracts must be signed and mailed to health plan by the following dates.

This Bulletin replaces SPECIAL BULLETIN COVID-19 #22 in its entirety. NC Medicaid has updated its emergency planning document called an Appendix K to expand its flexibilities on how Medicaid providers and beneficiaries may access and receive home- and community-based services (HCBS) through the CAP waivers in the wake of COVID-19, previously referenced in SPECIAL BULLETIN COVID-19 #22. Updates to the previous Bulletin are noted.