Providers should bill with Revenue Code 0771 instead of Revenue Code 0261 on future claims for the vaccine and monoclonal antibody administration services.
Medicaid Bulletin
Medicaid Bulletin Monthly Digest
Articles beginning January 2018 are available in the blog format.
Fact sheets that address questions related to the Standard Plan disenrollment process for children in foster care are now available.
On Dec. 20, 2021, the Department announced that the Healthy Opportunities Pilot will shift the start of Pilot service delivery from Feb. 1, 2022 to March 15, 2022. The Department will now take a phased approach to launching Healthy Opportunities Pilot services in all three Pilot regions.
Reimbursement for COVID-19 Specimen Collection
DME/POS providers may issue medically necessary equipment & supplies
Effective with date of service Nov 1, 2021, Medicaid and NC Health Choice programs cover pneumococcal 15-valent conjugate vaccine suspension for intramuscular injection (Vaxneuvance™).
Key dates, Playbook updates, Medicaid Direct, fabrication of eyeglasses, managed care eligibility for newborns, prior authorization, FAQs, Provider Ombudsman, Provider directory, PHP quick reference guides and help center.
Effective with date of service Oct. 22, 2021, Medicaid and NC Health Choice programs cover afamelanotide implant, for subcutaneous use (Scenesse®).
Summary network adequacy results for Standard Plans are available.