Medicaid Bulletin

SPECIAL BULLETIN COVID-19 #98: COVID-19 Knowledge Center Now Available: A Convenient Way for Providers to Find Information

Thursday, June 11, 2020

Medicaid and NC Health Choice providers now have a single source to find answers to questions about COVID-19. The online resource is a collection of Medicaid and behavioral health COVID-19 information, including answers to questions received in the COVID-19 mailbox, during webinars, from COVID-19 Special Medicaid Bulletins and other sources.

SPECIAL BULLETIN COVID-19 #97: Webinar Update for Behavioral Health and I/DD Providers

Wednesday, June 10, 2020

Panelists will present a structured PowerPoint presentation focused on Appendix K and Retention Payments for the Innovations Waiver on Thursday, June 11, 2020, at 3 p.m.

SPECIAL BULLETIN COVID-19 #96: Clinician and Laboratory Guidance Including Testing and Supplies

Tuesday, June 9, 2020

North Carolina is experiencing increased community transmission of COVID-19 in many areas of the state, particularly among our historically marginalized populations, especially our Latinx community. Pre-symptomatic and asymptomatic spread is playing an important role. Updated clinician and laboratory testing guidance and a new resource on community testing in historically marginalized populations are available.

Tailored Care Management Update

Tuesday, June 9, 2020

In December 2019, DHHS released the draft Tailored Care Management Provider Manual and application questions for providers interested in becoming Advanced Medical Home Plus practices or Care Management Agencies. The Department received many thoughtful comments on the draft Provider Manual and has made several updates. 

Trastuzumab-dttb for Injection, for Intravenous Use (Ontruzant®) HCPCS Code Q5112: Billing Guidelines

Tuesday, June 9, 2020

Effective with date of service April 15, 2020, the Medicaid and NC Health Choice programs cover trastuzumab-dttb for injection, for intravenous use (Ontruzant®) for use in the Physician Administered Drug Program (PADP) when billed with HCPCS code Q5112 - Injection, trastuzumab-dttb, biosimilar, (Ontruzant®), 10 mg.

New Information Required in Applications for Individual Providers Enrolling in Medicaid and NC Health Choice

Monday, June 8, 2020

Effective July 26, 2020, changes will be made to initial enrollment, re-enrollment, re-verification applications and manage change requests (MCRs) for individual providers (excluding disaster relief and Out of State Lite providers). The updates include the addition of a new page, as well as additional exclusion sanction questions. 

SPECIAL BULLETIN COVID-19 #95: HIV Case Management Policy Allowances

Friday, June 5, 2020

NC Medicaid will allow temporary changes to Clinical Coverage Policy 12B for Written Physician Orders, Use of Remote Technology and Signature Requirements. 

Understanding New Remittance Advice Refund Message

Wednesday, June 3, 2020

Beginning June 2020, the Remittance Advice will include a detailed explanation of any refund (Lump Sum / Miscellaneous Payment) issued to the provider. This message will be on the Financial Transactions page.

NC Medicaid Electronic Health Record Incentive Program Announcements

Tuesday, June 2, 2020

Program Year 2019 is Closed, NC-MIPS is Open for Program Year 2020, Program Year 2020 Webinar Series and The Security Risk Analysis (SRA).

SPECIAL BULLETIN COVID-19 #94: Second Increase in Therapeutic Leave Days for ICF/IDD Facilities Due to COVID-19

Tuesday, June 2, 2020

NC Medicaid is temporarily increasing the number of therapeutic leave days for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IIDs) from 60 days to 120 days. This is a change from the previous increase to 90 days. NC Medicaid continues to waive the requirement of approval needed for more than 15 consecutive days per Clinical Coverage Policy 8E. 

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