Medicaid Bulletin

NC Medicaid Launches Website for Beneficiaries to Learn More About Medicaid Managed Care

Monday, November 9, 2020

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.

NC Medicaid Electronic Health Record Incentive Program Announcements

Tuesday, November 3, 2020

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

Modified NCTracks AMH Tier Attestation Tool Available

Tuesday, November 3, 2020

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.

SPECIAL BULLETIN COVID-19 #140: Portal Live – Reimbursement for COVID-19-Related Primary Care Services for Uninsured Individuals Living in NC

Friday, October 30, 2020

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.

Quarterly HCPCS Code (J codes) Update October 1, 2020

Tuesday, October 27, 2020

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. 

Managing Your Primary Care Assignments 

Tuesday, October 27, 2020

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

Clinical Coverage Policies

Tuesday, October 27, 2020

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

SPECIAL BULLETIN COVID-19 #139: COVID-19 Temporary Provider Rate Increases and Clinical Policy Changes Extended

Wednesday, October 21, 2020

Consistent with the federal Department of Health and Human Services’ extension of the federal COVID-19 Public Health Emergency to January 21, 2021, NC Medicaid is extending COVID-19 temporary provider rate increases and clinical coverage policies to that same date. 

Updates to Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies

Tuesday, October 20, 2020

All temporary Durable Medical Equipment (DME) policy flexibilities outlined in COVID-19 Special Bulletins remain in effect. An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies with an effective date of Oct. 1, 2020, was posted to the NC Medicaid Clinical Coverage Policy web page. 

Updates to Clinical Coverage Policy 5A-2, Respiratory Equipment and Supplies

Tuesday, October 20, 2020

All temporary Durable Medical Equipment (DME) policy flexibilities outlined in COVID-19 Special Bulletins remain in effect. An amended version of Clinical Coverage Policy 5A-2, Respiratory Equipment and Supplies with an effective date of Oct. 1, 2020, was posted to the NC Medicaid Clinical Coverage Policy web page.
 

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