Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Nursing Facilities Supporting NC Medicaid Only Residents Enrolled in NC Medicaid Managed Care: Prior Authorizations
This bulletin provides guidance to nursing facilities serving NC Medicaid-only residents transitioning to managed care on July 1.
NC Medicaid Managed Care Provider Update – June 29, 2021
Frequently Asked Questions for NC Medicaid Managed Care
Children’s Developmental Services Agency Providers Carved Out of Managed Care
The following services should continue to be billed through NCTracks.
Changes to Fingerprinting Requirements
Recent changes to federal regulations impact requirements for fingerprint-based background checks for some providers.
Electronic Visit Verification Updates
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.
Electronic Visit Verification Implementation Extended for Waiver and LME-MCO-related Services
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.
Health Equity Payment Initiative Survey
All Carolina Access Providers who received health equity payments are asked to complete this survey.
Expiring Credential Update Reminder – June 22
Beginning June 26, 2021, claims will suspend for providers who received notice but failed to meet the deadline by which the update was required. 
SPECIAL BULLETIN COVID-19 #168: Vaccination Counseling Code Reimbursement
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.
SPECIAL BULLETIN COVID-19 #167: NC Medicaid No Longer Accepting COVID-19 Response Facility Designation Requests
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.