Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

For facilities using a point-of-care antigen test device for detection of SARS-CoV-2, this is a reminder that providers are required by State Health Director Order to report all results, positive and negative, of diagnostic testing for SARS-CoV-2, the virus that causes COVID-19. 

NCDHHS has announced additional enhancements to NC FAST’s ePASS, the online portal that enables individuals to apply for and manage their Medicaid and Food and Nutrition Services. This latest upgrade incorporates the option for a Spanish version of the home screen, navigation tools and all content, as well as the ability to complete the entire application process online in Spanish. 

During a recent medical and pharmacy claims analysis, billing anomalies for Long Acting Reversible Contraceptives (LARCs) and Depo-Provera (medroxyprogesterone) claims were identified.

Consent Form Expiration Date and Clarifications Related to Aug. 15, 2020 Policy Update

DHHS has announced the launch of NC Medicaid’s managed care enrollment website, www.ncmedicaidplans.gov, in preparation for the launch of Medicaid Managed Care scheduled on July 1, 2021. Medicaid Managed Care open enrollment will begin March 15, 2021 and will continue through May 14, 2021.

Updates include NC-MIPS is Open for Program Year 2020; Program Year 2020 Webinar Series; The Security Risk Analysis and Program Year 2021 Announcements. 

The Advanced Medical Home Tier Attestation Tool, available on the NCTracks Secure Provider Portal Status and Management page has been modified. Providers may use this tool to downgrade from an AMH Tier 3 level provider to an AMH Tier 2 level provider.

The portal for providers to request reimbursement for COVID-19 related primary care services for uninsured individuals is live and can be accessed through the NCTracks secure portal.

Effective with the date of service Oct. 1, 2020, CMS has added new HCPCS codes (J codes), deleted others and changed the description of some existing codes. 

Attention Advanced Medical Homes, Carolina Access and CCNC Primary Care Practices