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NC Medicaid »   Providers »   Medicaid Bulletin

Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Submit Fingerprinting Criminal Background Check and Related Information by Deadline to Prevent Termination
Friday, August 03, 2018

Fingerprinting is only required for high-risk providers as identified by 42 CFR 424.518(c), NC General Statute 108C-3g and Session Law 2018-5 SB99.

Re-credentialing and Ongoing Verification Updates
Friday, August 03, 2018

A list of providers scheduled for re-credentialing in 2018 is available on the Provider Enrollment Page of the North Carolina Medicaid website under the "Re-credentialing" header.

Provider Risk Level Adjustment
Friday, August 03, 2018

Federal regulation 42 CFR 455.450 requires a state Medicaid agency to screen all initial provider applications based on a categorical risk level of "limited," "moderate," or "high."

Pre-Admission Screening and Resident Review (PASRR) Program Update
Friday, August 03, 2018

Beginning Sept.1, 2018, adult care home and nursing home Pre-Admission Screening and Resident Review (PASRR) submissions through Provider Link will no longer be accepted.

NPI Exemption List will cease on Aug. 31, 2018
Friday, August 03, 2018

As previously communicated in the July 2018 North Carolina Medicaid Special Bulletin, the NPI Exemption List will cease Aug. 31, 2018, for Clinical Pharmacist Practitioners (CPPs), Residents and Interns.

NCTracks Provider Training Available in August 2018
Friday, August 03, 2018

Registration is open for the August 2018 instructor-led provider training courses listed below. Slots are limited.

Clinical Coverage Policies
Friday, August 03, 2018

The following new or amended combined North Carolina Medicaid and NC Health Choice clinical coverage policies are available on Medicaid’s website:

Avoid Delays in the Processing of Provider Enrollment Applications
Friday, August 03, 2018

If a provider’s enrollment application or Manage Change Request (MCR) does not contain errors, it will process more quickly. The NCTracks Enrollment Team identified commons errors that cause delays in processing applications and MCRs.

Update - NPI Exemption List Extension to Aug. 31, 2018 (July 2018)
Monday, July 02, 2018

Note: This article was originally published as a Special Bulletin in January 2018, with updates regarding clinical pharmacist practitioners.

Update - Avoid Delays in the Processing of Provider Enrollment Applications
Monday, July 02, 2018

If a provider’s enrollment application or Manage Change Request does not contain errors, it will process more quickly. The NCTracks Enrollment Team identified commons errors that cause delays in processing applications and MCRs.

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NC Medicaid
Division of Health Benefits

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