Providers should resubmit claims with 0261 revenue code
Medicaid Bulletin
Medicaid Bulletin Monthly Digest
Articles beginning January 2018 are available in the blog format.
Key dates, playbook updates, Behavioral Health services to transition, provider reverification and more
Effective April 1, 2022, NC Medicaid coverage for pregnant beneficiaries will extend to the last day of the month in which the 12-month postpartum period ends.
Human Service Organizations are required to enroll as Medicaid providers through NCTracks.
Optional Eligibility Group and HRSA Group are different
Clinical Coverage Policy 1E-6, Pregnancy Medical Home is being replaced with Pregnancy Management Program effective July 1, 2021.
CMS PERM audit educational provider webinar to be held in April 2022
Effective May 1, 2022, claims with Rev Code 025x and 063x will deny without appropriate documentation of NDC and HCPCS codes.
Continued Eligibility Reviews and Bonus Payments
For dates of service beginning April 1, 2022, the ICF-IID provider assessment per licensed bed day will increase to $27.30.