Medicaid Bulletin

Special Medicaid Bulletin COVID-19 #152: Billing Guidance for COVID-19 Vaccines

Thursday, January 21, 2021

The information in this bulletin is only for pharmacies administering vaccines outside of the CVS/Walgreens Long-Term Care program who have the means to handle the specific storage recommendations required of the COVID-19 vaccine and will be administering it. 

SPECIAL BULLETIN COVID-19 #153: Temporary Provider Rate Increases and Clinical Policy Changes Extended

Thursday, January 21, 2021

In response to the Federal Department of Health and Human Services’ extension of the Federal COVID-19 Public Health Emergency, NC Medicaid is extending COVID-19 temporary provider rate increases and clinical coverage policies through March 31, 2021. 

Electronic Visit Verification Update: Implementation Flexibilities End Jan. 31, 2021

Thursday, January 21, 2021

After Jan. 31, 2021, providers are required to capture EVV visits for all beneficiaries subject to EVV. Claims paid for services that are not captured through EVV may be subject to recoupment. 

SPECIAL BULLETIN COVID-19 #151: Laboratory Codes for COVID-19 Testing

Tuesday, January 19, 2021

NC Medicaid has approved codes for COVID-19-related medically necessary laboratory testing and has completed adding these services in NCTracks. Please note there are other codes currently under review that will be posted at a later date.

Personal Care Services Policy 3L Posted for Public Comment

Tuesday, January 19, 2021

NC Medicaid Clinical Coverage Policy 3L, State Plan Personal Care Services, is being amended to reflect the 21st Century Cures Act federal requirement of implementing Electronic Visit Verification for Personal Care Services.

New and Amended Clinical Coverage Policies

Tuesday, January 19, 2021

New or amended clinical coverage policies are available on the Clinical Coverage Policies web page on NC Medicaid’s website.

SPECIAL BULLETIN COVID-19 #150: UPDATE to NC Medicaid Cost Report Filing Extensions

Friday, January 15, 2021

Select provider types enrolled in the NC Medicaid Program are required to file annual Medicaid cost reports utilizing cost reporting schedules which are based on approved Medicare cost reporting platforms.

SPECIAL BULLETIN COVID-19 #149: COVID-19 Relief Fund Payments for Dental Providers

Thursday, January 14, 2021

To support continued access to dental care for Medicaid and NC Health Choice beneficiaries in North Carolina at a time when providers are facing challenges posed by the COVID-19 public health emergency, NC Medicaid will be making financial assistance payments to dental providers who serve meaningful numbers of Medicaid and NC Health Choice beneficiaries.

New Interim Reports to Assist Providers in Verifying Their Records

Wednesday, January 13, 2021

The Provider Directory Listing Report and Provider Affiliation Report is now available to providers as they prepare for Medicaid Managed Care.

Updates to Clinical Coverage Policy 10D, Respiratory Therapy Services by Independent Practitioner Provider

Tuesday, January 12, 2021

An updated version of Clinical Coverage Policy 10D, Respiratory Therapy Services by Independent Practitioner Provider with an amended date of Jan. 1, 2021, was posted to the NC Medicaid Specialized Therapies Clinical Coverage Policies web page.

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