Medicaid Bulletin

Effective with date of service Jan. 1, 2020, the Centers for Medicare & Medicaid Services (CMS) has identified some new CPT and HCPCS codes for reimbursement in ambulatory surgery.

The North Carolina State Health Director’s Standing Order for Naloxone authorizes any pharmacist practicing in the state of North Carolina and licensed by the North Carolina Board of Pharmacy to dispense naloxone to any person who meets the set criteria. 

NC Medicaid has provided instructions to NCTracks on updating the claims processing system. The following procedure code list has been updated recently to include additional NP and PA taxonomies. 
 

The Department has decided to further extend the initial application deadline for providers from Feb. 21, 2020 to June 2020 (date TBD).

The Department has extended the public comment period for the Behavioral Health I/DD Tailored Plan Request for Applications Pre-Release Policy Paper published on Jan. 30, 2020.

Today the Department of Health and Human Services issued the NC DHHS Transition of Care Draft Policy for public comments detailing the requirements under which the Standard Plan Prepaid Health Plans (PHPs) will facilitate transition of care for members transitioning between PHPs or service delivery systems. 

On Monday, Feb. 10, 2020, the Department will host a webinar to discuss the Behavioral Health I/DD Tailored Plan Request for Applications (RFA) Pre-Release Policy Paper published on Jan. 30, 2020. 

North Carolina has an annual office visit limit for both mandatory and optional services within the Medicaid program.

NC-MIPS is Open for Program Year 2019, The Security Risk Analysis, Reminder from CMS Regarding Objective 6 and Objective 7, Clarification from CMS Regarding Objective 5 Measure 1: Patient Electronic Access and General Reminders

This communication serves as an advisory notice for all providers. The intent is to increase awareness of history-only adjustments and voids within NCTracks.