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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.

Division of Medical Assistance (DMA) is Now the Division of Health Benefits (DHB)

Monday, September 3, 2018

Effective Aug. 1, 2018, the Division of Medical Assistance (DMA) and Division of Health Benefits (DHB) combined into one division called the NCDHHS Division of Health Benefits.

NCTracks Provider Training Available in September 2018

Monday, September 3, 2018

Registration is open for the September 2018 instructor-led provider training courses.

Sterilization Consent Form Status and Denial Reasons Accessible to Facility Providers

Monday, September 3, 2018

Facility providers can access Sterilization Consent Form status including denial reasons, on the secure NCTracks Provider Portal, if the sterilization consent form has been properly completed.

CSRA is Now GDIT

Monday, September 3, 2018

On April 2, 2018, General Dynamics Information Technology acquired CSRA Inc. CSRA is now "CSRA State and Local Solutions LLC, A General Dynamics Information Technology Company," or simply "GDIT."

Billing Code Update for Nurse Practitioners and Physician Assistants

Monday, September 3, 2018

Medicaid has provided instructions to NCTracks on updating the claims processing system. The following procedure code list has been updated recently to include additional NP and PA taxonomies.

Clinical Policy 1E-7, Family Planning Services - Office Visits

Monday, September 3, 2018

The following CPT codes should not be billed with a separate office visit. An office visit component is included in reimbursement for these CPT codes.

NC Medicaid EHR Incentive Payment System (NC-MIPS) is Open for Program Year 2018

Friday, August 31, 2018

NC-MIPS is accepting Program Year 2018 Modified Stage 2 and Stage 3 MU attestations.

Provider Risk Level Adjustment

Friday, August 3, 2018

Federal regulation 42 CFR 455.450 requires a state Medicaid agency to screen all initial provider applications based on a categorical risk level of "limited," "moderate," or "high."

NPI Exemption List will cease on Aug. 31, 2018

Friday, August 3, 2018

As previously communicated in the July 2018 North Carolina Medicaid Special Bulletin, the NPI Exemption List will cease Aug. 31, 2018, for Clinical Pharmacist Practitioners (CPPs), Residents and Interns.

Submit Fingerprinting Criminal Background Check and Related Information by Deadline to Prevent Termination

Friday, August 3, 2018

Fingerprinting is only required for high-risk providers as identified by 42 CFR 424.518(c), NC General Statute 108C-3g and Session Law 2018-5 SB99.

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