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Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Bulletins published prior to January 2019

Articles since January 2018 are available in the blog format below.

NCTracks Document Upload Capacity Increased

Monday, November 5, 2018

The Upload Documents page on the Secure Provider Portal now allows providers to upload up to 20 enrollment-related documents, an increase over the previous maximum of 10 documents.

Revised Effective Oct. 1, 2018: Clinical Coverage Policy IS-4, Genetic Testing; Add Coverage for CPT code 81420 (Fetal Chromosomal Aneuploidy)

Monday, November 5, 2018

Effective Oct. 1, 2018, providers can now bill for CPT code 81420 (fetal chromosomal aneuploidy). Procedure is limited to three units per 365 days.

New Application Withdrawal Option

Monday, November 5, 2018

Providers now have the option to withdraw an application by clicking on the "Withdraw" hyperlink on the Status and Management page of their NCTracks record.

Revised Effective Nov. 1, 2018: Clinical Coverage Policy 11A-10, Hematopoietic Stem-Cell Transplantation (HSCT) for Central Nervous System (CNS) Embryonal Tumors & Ependymoma

Monday, November 5, 2018

Hematopoietic Stem-Cell Transplantation for Central Nervous System Embryonal Tumors & Ependymoma, 11A-10 has been revised effective Nov. 1, 2018.

NCTracks Provider Training Available in November 2018

Monday, November 5, 2018

Registration is open for the November 2018 instructor-led provider training courses listed below. Slots are limited.

Revised Effective Nov. 1, 2018: Clinical Policy 1E-7, Family Planning Services

Monday, November 5, 2018

Clinical Policy 1E-7, Family Planning Services, has been revised and posted on the NC Medicaid website.

Updates to the NC Medicaid Electronic Health Record (EHR) Incentive Program

Monday, November 5, 2018

The NC Medicaid EHR Incentive Program’s Quick Tip Webinar Series has been updated to reflect the rules and regulations for Program Year 2018. This article also covers Promoting Interoperability Reporting Period and NC Medicaid EHR Incentive Payment System is Open for Program Year 2018.

Revised Effective Dec. 31, 2018 and May 1, 2019: Clinical Coverage Policy 1E-3, Sterilization Procedures

Monday, November 5, 2018

Effective Dec. 31, 2018, CPT code 58565 (Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants) will no longer be covered by NC Medicaid.

Clinical Coverage Policies

Friday, October 5, 2018

The following new or amended Medicaid and NC Health Choice clinical coverage policies were posted since Aug. 31, 2018.

Plazomicin Injection, for Intravenous Use (Zemdri™) HCPCS Code J3490: Billing Guidelines

Friday, October 5, 2018

Effective with date of service Aug. 17, 2018, the Medicaid and NC Health Choice programs cover plazomicin injection, for intravenous use (Zemdri) for use in the Physician's Drug Program when billed with HCPCS code J3490-Unclassified drugs.

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