Medicaid Bulletin
Tailored Care Management Certification Desk Review Guide and Scoring Tool Available
The Department is releasing the draft Tailored Care Management Desk Review Guide and Scoring Tool to support providers applying for AMH+ or Care Management Agency certification.
SPECIAL BULLETIN COVID-19 #164: Update on CARES Act-funded Payments to Nursing Facility Providers for Staff Testing Costs
This bulletin provides an update on the final reconciliation activity related to nursing facility staff COVID-19 testing payments authorized under Secretarial Orders No. 2 and No. 4.
Provider Data Updates
Providing the most accurate and complete provider information is a top priority so Medicaid and NC Health Choice beneficiaries can make the most informed choice for their health plan and primary care provider.
NCTracks Changes to Provider Verification Process
NC Medicaid is making system modifications that will start the process of 45 and 60 day notifications of suspension if a provider fails to update their credential prior to the expiration date.
Quarterly HCPCS Code Update April 1, 2021
Effective with the date of service April 1, 2021, the Centers for Medicare & Medicaid Services added new HCPCS codes (J codes), deleted others and changed the description of some existing codes.
New and Amended Clinical Coverage Policies – March 2021
The following new or amended clinical coverage policies are available on the Clinical Coverage Policies web page on NC Medicaid’s website.
Last Month to Submit Program Year 2020 Attestations
Program Year 2020 Webinar Series, The Security Risk Analysis (SRA) and Program Year 2021 Announcements.
Quality Strategy Update Draft Posted for Public Comment
An updated draft of NC Medicaid’s Managed Care Quality Strategy is posted for public comments until May 6, 2021.
Quality Report and Quality Measurement Technical Specifications Manual Posted
The NC Medicaid Annual Quality report and an updated NC Medicaid Managed Care Quality Measurement Technical Specifications Manual are available.
Primary Care Provider Practice Reassignment for Some Beneficiaries
NCDHHS has implemented a PCP practice reassignment process to better match beneficiaries to the PCP with whom they already have an active relationship with to help ensure the best health plan is selected during auto-enrollment.
Medicaid Bulletin Monthly Digest
Articles beginning January 2018 are available in the blog format.
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