Medicaid Bulletin

Provider Selection of Electronic Visit Verification Vendor Required for Jan. 1, 2021 Implementation

Friday, December 11, 2020

Providers subject to EVV are required to utilize an electronic verification system to capture in-home visits to align with the state and federal guidelines. The enrollment or selection of an EVV vendor must be made by Dec. 18, 2020, to ensure NC Medicaid meets the Jan. 1, 2021 deadline for implementation.

Electronic Visit Verification Billing and LME-MCO Update

Friday, December 11, 2020

NC Medicaid’s Electronic Visit Verification (EVV) system will launch on Jan. 1, 2021, for State Plan Personal Care Services, CAP/DA and CAP/C. During the first 90 days following launch, we will operate EVV as “Pay and Report.” EVV implementation for TBI waiver and LME-MCO services programs is planned for April 2, 2021.

Upcoming Provider Webinars

Tuesday, December 8, 2020

Provider webinars in December include Advanced Medical Home on December 10, COVID-19 Vaccine Distribution on December 15, and Behavioral Health on December 17.

Medicaid Managed Care Provider Update

Tuesday, December 8, 2020

Key dates for transitioning to Medicaid Managed Care, contracting reminders, webinar series for providers and practice leaders, review your provider records in NCTracks, the Provider Ombudsman, PHP manuals updated and the beneficiary portal. 

Required Electronic Visit Verification Survey Deadline Extended

Thursday, December 3, 2020

NC Medicaid State Plan Personal Care Services (PCS) and Community Alternatives Programs (CAP) providers who render personal care-type services, are required to complete a secure survey regarding Electronic Visit Verification (EVV) by Dec. 7, 2020.

Span Dating Ends Jan. 1, 2021 for Providers Subject to Electronic Visit Verification

Tuesday, December 1, 2020

Effective Jan. 1, 2021, Personal Care Services and Community Alternatives Programs providers subject to Electronic Visit Verification will no longer be able to submit claims using span dating.

NC Medicaid Expands Website to Include New Resources to Support Medicaid Beneficiaries

Tuesday, December 1, 2020

NCDHHS has launched a new Beneficiary Portal on the NC Medicaid website. The portal will serve as a centralized information resource center for current Medicaid beneficiaries and those wishing to apply for Medicaid benefits. It also offers information about Medicaid Managed Care, set to launch July 1, 2021.

NC Medicaid Electronic Health Record Incentive Program Announcements

Tuesday, December 1, 2020

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

J0887 Mircera Injection, Epoetin Beta, Billing Instructions for End Stage Renal Disease (ESRD) Treatment Providers

Tuesday, December 1, 2020

Effective July 1, 2020, End Stage Renal Disease Treatment providers (261QE0700X) were added to the list of eligible providers for Procedure Code J0887, Mircera Injection, Epoetin Beta, 1 Microgram. 

Home Health Services Bill Type 33X Update

Tuesday, December 1, 2020

As announced previously, providers should not be submitting original claims for home health services using Bill Type 33X. Effective immediately, providers should use Bill Type 32X or 34X.

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