Medicaid Bulletin

Electronic Visit Verification Update: Implementation Flexibilities

Wednesday, February 3, 2021

NC Medicaid acknowledges challenges with implementing EVV and is extending flexibilities for EVV dates of service to providers who make a good faith effort to connect with their EVV vendor of choice. 

SPECIAL BULLETIN COVID-19 #154: Monoclonal Antibodies – Billing Guidelines

Tuesday, February 2, 2021

The U.S. Food and Drug Administration has issued an Emergency Use Authorization to permit the emergency use of the unapproved monoclonal antibodies to be administered for the treatment of mild to moderate COVID-19 in some patients. 

NC Medicaid Electronic Health Record Incentive Program Announcements

Tuesday, February 2, 2021

NC-MIPS is Open for Program Year 2020, Program Year 2020 Webinar Series, The Security Risk Analysis (SRA) and Program Year 2021 Announcements.

Behavioral Health I/DD Tailored Plan Memo on Eligibility and Enrollment Updates

Tuesday, February 2, 2021

Additional criteria has been added to identify beneficiaries as eligible for Behavioral Health I/DD Tailored Plans. 

Temporary Clinical Policy Modifications: Payment for Healthy Opportunities Screening and Referral

Monday, February 1, 2021

Effective Jan. 1, 2021, NC Medicaid and NC Health Choice are temporarily covering Healthy Opportunities screening to encourage providers to gain capacity for screening Medicaid beneficiaries for unmet health-related resource needs and referring them to appropriate community-based resources prior to the launch of Medicaid managed care.  

Advanced Medical Home Tier 3 “Glidepath” Payments

Monday, February 1, 2021

Effective April 1, 2021, as part of the transition to Medicaid Managed Care, NC Medicaid will offer time-limited payment  to practices that have attested into Advanced Medical Home Tier 3 if they can demonstrate successful readiness for AMH Tier 3 responsibilities.  

Pilot Program to Ensure Communication Access in Health Care Settings for Deaf, Deaf-Blind and Hard of Hearing NC Medicaid Beneficiaries

Tuesday, January 26, 2021

NCDHHS was allocated administrative funds to launch a pilot program targeted to improve equal communication access for Medicaid and NC Health Choice Deaf, Deaf-Blind and Hard of Hearing beneficiaries in health care settings with NC Medicaid providers.  

J0887 Mircera Injection, Epoetin Beta, 1 Microgram, Added to Dialysis Related Procedure Codes Allowed for Emergency Dialysis for Undocumented Aliens

Tuesday, January 26, 2021

Undocumented aliens and certain legal aliens who have not resided in the U.S. for more than five years do not qualify for full Medicaid assistance, but do qualify for medical emergency services. 

NC Provider Directory – Medicaid and NC Health Choice Provider and Health Plan Look Up Tool Now Available

Monday, January 25, 2021

The public version of the Medicaid and NC Health Choice Provider and Health Plan Lookup Tool is now available. Providers are encouraged to use this tool to confirm the availability and accuracy of information contained in their NCTracks provider enrollment record.

Special Medicaid Bulletin COVID-19 #152: Billing Guidance for COVID-19 Vaccines

Thursday, January 21, 2021

The information in this bulletin is only for pharmacies administering vaccines outside of the CVS/Walgreens Long-Term Care program who have the means to handle the specific storage recommendations required of the COVID-19 vaccine and will be administering it. 

Subscribe to Medicaid Bulletins Updates

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Associated Files