The following new or amended Medicaid and NC Health Choice clinical coverage policies were posted since Oct. 1, 2018. Visit the NC Medicaid website to view the policies.
Medicaid Bulletin
Medicaid Bulletin Monthly Digest
Articles beginning January 2018 are available in the blog format.
Effective Oct. 1, 2018, providers can now bill for CPT code 81420 (fetal chromosomal aneuploidy). Procedure is limited to three units per 365 days.
Clinical Policy 1E-7, Family Planning Services, has been revised and posted on the NC Medicaid website.
Hematopoietic Stem-Cell Transplantation for Central Nervous System Embryonal Tumors & Ependymoma, 11A-10 has been revised effective Nov. 1, 2018.
Effective Dec. 31, 2018, CPT code 58565 (Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants) will no longer be covered by NC Medicaid.
Proposed Clinical Coverage Policies for Public Comment
Providers now have the option to withdraw an application by clicking on the "Withdraw" hyperlink on the Status and Management page of their NCTracks record.
Registration is open for the November 2018 instructor-led provider training courses listed below. Slots are limited.
The Upload Documents page on the Secure Provider Portal now allows providers to upload up to 20 enrollment-related documents, an increase over the previous maximum of 10 documents.
The Money Follows the Person Demonstration Project is preparing for the 2019-2023 Medicaid Transition Period and has updated its application for the coming year.