Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

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.

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.

All Carolina Access Providers who received health equity payments are asked to complete this survey.

Beginning June 26, 2021, claims will suspend for providers who received notice but failed to meet the deadline by which the update was required. 

Effective June 22, 2021, CPT 99401: Preventative medicine counseling and/or risk factor reduction intervention (s) provided to an individual, up to 15 minutes has been added to counsel Medicaid beneficiaries regarding the benefits of receiving the COVID-19 vaccine.

Due to diminished need, NC Medicaid will no longer accept new requests to serve as a Response Facility from nursing homes, effective Monday, June 21, 2021.

NC Medicaid is seeking input on how North Carolina can most effectively allocate the funds.

Effective July 1, 2021, providers must use the most appropriate diagnosis code as the primary diagnosis for the well child exam.

NCTracks has continued sending reminder notices to providers advising of the requirement to update expiring credentials and keep them current.

Key milestone dates, where to turn for help, Provider Playbook, PHP quick reference guides, webinars, Provider Directory, Help Center and Provider Ombudsman.