Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Topics include: key dates, contracting reminders, provider ombudsman, playbook updates, outreach to patient panels, webinars, provider directory, PHP quick reference guides, Help Center and Tailored Care Management certification.

NC DHHS announced the selection of organizations to serve three regions of the state

To ensure providers meet contractual obligations to keep credentials current, notifications of suspension for failure to update a credential prior to the expiration date on file with NCTracks were implemented in May. 

Medicaid beneficiaries currently eligible to transition to managed care have selected or been assigned a health plan. 

NC Medicaid is updating the 1G-2 Skin Substitutes Policy. 

End-Dating the Use of Taxonomy Code 313M00000X (Nursing Home-Intermediate Level of Care) From Provider Permissions Matrix, Continuation of Temporary Suspension of Level I and Level II Assessments for New Nursing Home Admissions, NCMUST Webpage Update, PASRR Submission and Required Supporting Documentation

Due to confusion with the language in Clinical Coverage Policy 1A-22, Medically Necessary Circumcision, the policy has been revised with grammar and punctuation updates.

NCDHHS is releasing data on the number of beneficiaries, as of April 2021, who currently meet the eligibility criteria to enroll in Tailored Plans and receive Tailored Care Management scheduled to launch in July 2022.

An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies with an effective date of April 1, 2021, was posted to the NC Medicaid Clinical Coverage Policy web page.

An amended version of Clinical Coverage Policy 5A-2, Respiratory Equipment and Supplies with an effective date of April 1, 2021, was posted to the NC Medicaid Clinical Coverage Policy web page.