Medicaid Bulletin

Personal Care Services Policy 3L Posted for Public Comment

Tuesday, January 19, 2021

NC Medicaid Clinical Coverage Policy 3L, State Plan Personal Care Services, is being amended to reflect the 21st Century Cures Act federal requirement of implementing Electronic Visit Verification for Personal Care Services.

Electronic Visit Verification – Implementation Update

Thursday, December 31, 2020

January marks the go-live date for Electronic Visit Verification (EVV) Phase 1 Implementation. Beginning on January 1, 2021, all providers subject to the Federal EVV mandate should make every effort to capture visits through their chosen EVV solution. 

Electronic Visit Verification Training Reminder

Thursday, December 17, 2020

EVV Training for providers using NC Medicaid’s EVV solution, Sandata, is now underway with instructor-led training webinars filling up fast. Training is required to ensure all agency employees are ready to capture EVV visit data.

Electronic Visit Verification Stakeholder Meeting

Wednesday, December 16, 2020

NC Medicaid will host a Stakeholder Engagement meeting regarding Electronic Visit Verification on Thursday, Dec. 17, 2020, at 10 a.m. Registration is required. 

Electronic Visit Verification and In-Home Caregivers

Wednesday, December 16, 2020

Clarification regarding Electronic Visit Verification (EVV) and how it applies to in-home caregivers, including service codes for EVV and frequently asked questions on this topic.

Provider Selection of Electronic Visit Verification Vendor Required for Jan. 1, 2021 Implementation

Friday, December 11, 2020

Providers subject to EVV are required to utilize an electronic verification system to capture in-home visits to align with the state and federal guidelines. The enrollment or selection of an EVV vendor must be made by Dec. 18, 2020, to ensure NC Medicaid meets the Jan. 1, 2021 deadline for implementation.

Electronic Visit Verification Billing and LME/MCO Update

Friday, December 11, 2020

NC Medicaid’s Electronic Visit Verification (EVV) system will launch on Jan. 1, 2021, for State Plan Personal Care Services, CAP/DA and CAP/C. During the first 90 days following launch, we will operate EVV as “Pay and Report.” EVV implementation for TBI waiver and LME/MCO services programs is planned for April 2, 2021.

Required Electronic Visit Verification Survey Deadline Extended

Thursday, December 3, 2020

NC Medicaid State Plan Personal Care Services (PCS) and Community Alternatives Programs (CAP) providers who render personal care-type services, are required to complete a secure survey regarding Electronic Visit Verification (EVV) by Dec. 7, 2020.

Span Dating Ends Jan. 1, 2021 for Providers Subject to Electronic Visit Verification

Tuesday, December 1, 2020

Effective Jan. 1, 2021, Personal Care Services and Community Alternatives Programs providers subject to Electronic Visit Verification will no longer be able to submit claims using span dating.

SPECIAL BULLETIN COVID-19 #143: CAP/C and CAP/DA Home and Community-Based Services Flexibilities Update for Beneficiaries Enrolled in 1915(c) Waivers

Wednesday, November 18, 2020

This Bulletin replaces SPECIAL BULLETIN COVID-19 #22 in its entirety. NC Medicaid has updated its emergency planning document called an Appendix K to expand its flexibilities on how Medicaid providers and beneficiaries may access and receive home- and community-based services (HCBS) through the CAP waivers in the wake of COVID-19, previously referenced in SPECIAL BULLETIN COVID-19 #22. Updates to the previous Bulletin are noted.

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