Medicaid Bulletin

Key dates, webinar series, Provider Directory tool, Provider Ombudsman and PHP manuals updated.

This bulletin provides important information regarding changes in the law concerning connection deadlines to NC HealthConnex, the state-designated health information exchange. It also describes a “Hardship Extension Process” coordinated by DHHS.  

A new Medicaid Managed Care webinar series on the Advanced Medical Home (AMH) program will begin Dec. 10, 2020. 

Following the Oct. 30, 2020, announcement that the NCTracks secure portal is live, providers are encouraged to submit qualifying COVID-19 related primary care services claims for reimbursement through the NCTracks secure portal.  

For facilities using a point-of-care antigen test device for detection of SARS-CoV-2, this is a reminder that providers are required by State Health Director Order to report all results, positive and negative, of diagnostic testing for SARS-CoV-2, the virus that causes COVID-19. 

NCDHHS has announced additional enhancements to NC FAST’s ePASS, the online portal that enables individuals to apply for and manage their Medicaid and Food and Nutrition Services. This latest upgrade incorporates the option for a Spanish version of the home screen, navigation tools and all content, as well as the ability to complete the entire application process online in Spanish. 

During a recent medical and pharmacy claims analysis, billing anomalies for Long Acting Reversible Contraceptives (LARCs) and Depo-Provera (medroxyprogesterone) claims were identified.

Consent Form Expiration Date and Clarifications Related to Aug. 15, 2020 Policy Update

DHHS has announced the launch of NC Medicaid’s managed care enrollment website, www.ncmedicaidplans.gov, in preparation for the launch of Medicaid Managed Care scheduled on July 1, 2021. Medicaid Managed Care open enrollment will begin March 15, 2021 and will continue through May 14, 2021.

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