Medicaid Bulletin

Electronic Visit Verification – Implementation Update

Thursday, December 31, 2020

January marks the go-live date for Electronic Visit Verification (EVV) Phase 1 Implementation. Beginning on January 1, 2021, all providers subject to the Federal EVV mandate should make every effort to capture visits through their chosen EVV solution. 

SPECIAL BULLETIN COVID-19 #146: Update on CARES Act-Funded Payments to Nursing Facility Providers and Availability of Extension Funding

Wednesday, December 30, 2020

This bulletin updates and extends NC Medicaid’s reimbursement for allowable COVID-19 testing of nursing facility staff and healthcare personnel. 

SPECIAL BULLETIN COVID-19 #147: Moderna COVID-19 Vaccine (N/A) HCPCS code 91301: Billing Guidelines

Tuesday, December 29, 2020

This information is only for non-long-term care providers who have the means to handle the specific storage recommendations required of the Moderna COVID-19 vaccine and will be administering it. 

Clinical Policy 1A-22, Medically Necessary Circumcision Revised

Tuesday, December 29, 2020

Clinical Coverage Policy 1A-22, Medically Necessary Circumcision, has been revised and will post with an effective date of Jan. 1, 2021 on the NC Medicaid website.

Coverage Added for Transversus Abdominis Plane Blocks

Tuesday, December 22, 2020

Effective Oct. 1, 2020, NC Medicaid will now cover services for transversus abdominis plane blocks for Medicaid and NC Health Choice beneficiaries 11 years and older.

Clinical Policy 1E-7, Family Planning Services Revised

Tuesday, December 22, 2020

An amended version of Clinical Coverage Policy 1E-7, Family Planning Services with an effective date of Dec. 1, 2020, was posted to the NC Medicaid Clinical Coverage Policy webpage. 

SPECIAL BULLETIN COVID-19 #145: Updated Guidance for PACE Organizations

Monday, December 21, 2020

Program of All-inclusive Care for the Elderly (PACE) organizations should continue to follow the guidance of local, state and federal officials regarding COVID-19 and thoroughly document reasoning for making decisions which may fall outside of the PACE program model.

SPECIAL BULLETIN COVID-19 #144: COVID-Nursing Facility Response Site Criteria Revised

Friday, December 18, 2020

This bulletin revises the COVID-Response Site criteria established in SPECIAL BULLETIN COVID-19 #82.

Electronic Visit Verification Training Reminder

Thursday, December 17, 2020

EVV Training for providers using NC Medicaid’s EVV solution, Sandata, is now underway with instructor-led training webinars filling up fast. Training is required to ensure all agency employees are ready to capture EVV visit data.

Electronic Visit Verification Stakeholder Meeting

Wednesday, December 16, 2020

NC Medicaid will host a Stakeholder Engagement meeting regarding Electronic Visit Verification on Thursday, Dec. 17, 2020, at 10 a.m. Registration is required. 

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