Medicaid Bulletin
SPECIAL BULLETIN COVID-19 #143: CAP/C and CAP/DA Home and Community-Based Services Flexibilities Update for Beneficiaries Enrolled in 1915(c) Waivers
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.
DHHS Awards Contract for Electronic Visit Verification
NC DHHS awarded a contract to Sandata Technologies, LLC on Sept. 24, 2020, and will implement services for Electronic Visit Verification (EVV) statewide on Jan. 1, 2021. EVV is a method used to verify visit activity for services delivered as part of home- and community-based service programs. EVV offers a measure of accountability to help ensure that individuals who are authorized to receive services in fact receive them.
SPECIAL BULLETIN COVID-19 #135: Expectation to Comply with Infection Control and Prevention Measures
Strong infection prevention and control practices are critical to reducing the transmission of COVID-19 within long-term care facilities. NC DHHS is reiterating its expectation that providers participate in the infection prevention and control activities.
SPECIAL BULLETIN COVID-19 #93: Targeted Rate Increase, Additional Hours and Associated Reporting Requirements for In-Home Personal Care Services (PCS) Providers under State Plan PCS and CAP/C and CAP/DA Programs
NOTE: UPCOMING PROVIDER WEBINAR
NC Medicaid COVID+ Rate Reporting Technical Assistance Session
Wednesday, June 3, 1:00 p.m.
Register
SPECIAL BULLETIN COVID-19 #88: Additional Temporary Rate Increases for Skilled Nursing Facilities, LTSS Personal Care Service Providers and Home Health Providers to support Strengthening Infection Prevention Activities
NC Medicaid continues provide support to Skilled Nursing Facilities (SNF) and Personal Care Services (PCS) and Home Health (HH) providers to strengthen their infection prevention and management activities as they serve beneficiaries at high risk of contracting COVID-19.
SPECIAL BULLETIN COVID-19 #58: Personal Care Services Additional Policy Allowances
During the period of the State of Emergency, supervisory visits must be conducted, but may be conducted utilizing eligible technologies that allow the supervising registered nurse to remotely communicate and evaluate services rendered. Supervisory visits can be delivered via any HIPAA-compliant, secure technology with audio and video capabilities including (but not limited to) smart phones, tablets and computers.
SPECIAL BULLETIN COVID-19 #47: Updates for PACE Organizations
PACE organizations should continue to follow the guidance of the local, state and federal officials regarding COVID-19 and thoroughly document reasoning for making decisions which may fall outside of the PACE program model. This guidance supplements the Special Bulletin COVID-19 #27 released on March 30, 2020. The temporary flexibilities noted in Special Bulletin COVID-19 #27 and this Special Bulletin will end the earlier of the cancellation of the North Carolina state of emergency declaration or December 31, 2020.
SPECIAL BULLETIN COVID-19 #30: Personal Care Services Assessments
On March 10, 2020, Governor Roy Cooper issued an executive order declaring a State of Emergency for North Carolina to respond to COVID-19. In addition, the Department of Health and Human Services made several recommendations to slow the spread of COVID-19 and reduce the number of people infected.
Comprehensive Independent Assessment Entity Award Announcement
On Jan. 31 ,2020, the North Carolina Department of Health and Human Services announced that Keystone Peer Review Organization, Inc. received the contract as the Comprehensive Independent Assessment Entity.
Clarification on Family Supplementation of PCS Medicaid Benefit
On Jan. 29, 2013, NC Medicaid issued a memorandum giving guidance on the subject of Guidance for Family Supplementing Payment to the Medicaid Benefit. Several adult care home (ACH) providers have recently referenced this memorandum when inquiring about payment supplements specifically related to the provision of Personal Care Services (PCS) to recipients of special assistance.
Medicaid Bulletin Monthly Digest
Articles beginning January 2018 are available in the blog format.
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