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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.

Avoid Delays in the Processing of Applications for Providers Enrolling as Individuals

Friday, October 5, 2018

If a provider’s enrollment application or Manage Change Request (MCR) does not contain errors, it will process more quickly. NC Medicaid and the NCTracks Enrollment Team frequently share information about commons errors that cause delays in processing applications and MCRs.

Are You in Compliance with North Carolina Law?

Friday, October 5, 2018

North Carolina health care providers are required by law to connect with NC HealthConnex, North Carolina’s designated health information exchange.

Update to Reimbursement of Long Acting Reversible Contraceptives (LARCs)

Friday, October 5, 2018

Effective for dates of service on or after Oct. 1, 2018, the following DRG classifications specific to LARCs will be added to the current Grouper 36 version within NCTracks for claims reimbursement.

ICD-10 Update for 2019

Friday, October 5, 2018

The 2019 ICD-10 update is effective Oct. 1, 2018 through Sept. 30, 2019, for provider use.

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

Friday, October 5, 2018

Per the updated IPPS Final Rule released Aug. 2, 2018, the EHR reporting period will now be referred to as the Promoting Interoperability (PI) reporting period.

Pre-Admission Screening and Resident Review (PASRR) Program Update

Friday, October 5, 2018

The Department of Health and Human Services is implementing the Referral Screening Verification Process for individuals being considered for admission to an Adult Care Home effective Nov. 1, 2018.

Balloon Ostial Dilation (BOD) Services Billed with Modifier 50 (Bilateral)

Friday, October 5, 2018

Claims for balloon sinus ostial dilation billed with modifier 50 (bilateral) have been resulting in an underpayment to providers. The issue has been resolved.

NCTracks Provider Training Available in October 2018

Friday, October 5, 2018

Registration is open for several instructor-led training courses for providers that will be held in October 2018.

NC Medicaid Flexibilities due to Hurricane Florence end today

Friday, October 5, 2018

Providers are reminded that NC Medicaid flexibilities due to Hurricane Florence end on Oct. 5, 2018.

Regional Provider Training

Friday, October 5, 2018

Personal Care Services (PCS) regional training sessions will be held Oct. 18-Nov. 1, 2018.

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