Raleigh, NC 27699-2000
Program of All Inclusive Care for the Elderly (PACE) Training - Oct. 30, 2020, Living Arrangement Policy & NC FAST Functionality Updates - Oct. 29, 2020, COVID-19 Testing Group Webinar - Aug. 21, 2020, COVID-19 Testing Medical Assistance - Aug. 14, 2020, Application for Coverage of Coronavirus (COVID-19) Testing Costs - Aug. 14, 2020, Pandemic Unemployment Compensation - July 15, 2020, Pandemic Unemployment Compensation Reports - May 20, 2020, Program Integrity Training - Feb. 14, 2020, North Carolina Department of Health and Human Services (NCDHHS) Alerts - Feb. 10, 2020, 2020 Application Time Standards Chart - Jan. 6, 2020, November 2019 Supervisor Cluster Meeting Follow-up Information - Jan. 6, 2020, Audit of County Medicaid Eligibility Determinations - Jan. 24, 2019, Changes to Single Audit Process - SFY 2019, Medicaid Operational Support Team - Jan. 4, 2019, Operational Support Team Representative County Reassignment - Nov. 4, 2019, Program Integrity Training Needs Assessment - May 6, 2019, Statewide Single Audit - Medicaid Eligibility Determination Testing - SFY 2019, July 25, 2018 - Payment Error Rate Measurement (PERM) Overview Kickoff, April 17, 2018 - Spring 2018 Supervisor Cluster Meeting - Save the Date, April 16, 2018 - New Medicare Cards Transition Began April 1, 2018, Feb. 26, 2018 - Medicaid and NCHC Overpayment Recoupment Plan, Feb. 14, 2018 - 2018 Application Monitoring, Jan. 26, 2018 - 2018 Application Time Standards Chart, Dec. 8, 2017 - Patient Monthly Liability and Medicaid Eligibility Corrections Forms, Nov. 14, 2017 - New Medicare Cards, formerly Social Security Number Removal Initiative (SSNRI), Nov. 1, 2017 - Annual Eligibility Redetermination for Exchange Participation and Insurance Affordability Programs, Sept. 22, 2017 - NEMT Corrective Action Plan, Aug. 24, 2017 - Veteran's Administration Contact Information, Aug. 4, 2017 - Low Income Subsidy Part D and Prescription Drug Plan Reassignments, July 13, 2017 - Temporary Protected Status for Haiti Extended for Six Months, April 19, 2017 - Eligibility Review Document for County Single Audit, April 17, 2017 - Updating/Deleting Incorrect Social Security Numbers, March 30, 2017 - Medicaid Eligibility Second Party Review Corrective Action Plan, March 30, 2017 - Eligibility Services Moves to Research Triangle Park (Research Commons), Jan. 19, 2017 - Application Time Standards, Jan. 18, 2017 - Minimum Essential Coverage Reporting (MEC), 1095-B, Nov. 11, 2016 - County Corrective Action Plan Follow-Up, July 15, 2016 - NEMT Provider Site Visits, July 15, 2016 - Updating/Deleting Incorrect Social Security Numbers, July 5, 2016 - Health Insurance Marketplace Applications, June 29, 2016 - Beneficiary Notices for those enrolled in Medicaid/NCHC and Marketplace Coverage, June 6, 2015 - CenterPoint-Cardinal Merger (MCO), April 15, 2016 - Non-Emergency Medical Transportation (NEMT) Provider Enrollment Training, April 12, 2016 - Single Audit Finding Report Corrective Action Plan, March 2, 2016 - Non-Emergency Medical Transportation (NEMT) Provider Enrollment, Feb. 25, 2016 - Auto-Extensions of MAGI Medicaid Cases, Feb. 16, 2016 - Trust and Annuity Reviews, Feb. 5, 2016 - Minimum Essential Coverage Reporting Update, Jan. 31, 2016 - Foster Care Medical Homes/Medicaid ID Cards, Jan. 26, 2016 - Application Time Standards Chart for 2016, Jan. 22, 2015 - Direct Charge of Equipment for Medicaid Eligibility Determination Workers, Nov. 20, 2015 - Patient Monthly Liability Corrections, Oct. 2, 2015 - Inappropriate Transmission of Personal Information, Sept. 3, 2015 - Verification of Alien Immigration Status, Sept. 2, 2015 - Medicaid and Health Choice Primary Care Provider/Medical Home Assignment will Begin Sept. 2015, July 23, 2015 - Alien Emergency Service Reviews, June 23, 2015 - Haitian Family Reunification Parole Progam, June 19, 2015 - Innovations Waiver Eligibility Process, March 26, 2015 - Medicaid Recertifications, March 26, 2015 - "Fostering Health NC": County Access To and Use of NCCCN Informatics and Provider Portal, Feb. 10, 2015 - Policy regarding the deduction of monthly premiums for individual Dental Insurance products, Jan. 29, 2015 - Microsoft Windows XP Remediation, Jan. 23, 2015 - Application Time Standards Chart for 2015, Jan. 22, 2015 - Social Security Number Change Restrictions, Dec. 16, 2014 - Strategies to Reduce the number of Medicaid Cases overdue for Recertification, Dec. 15, 2014 - 2015 Application Monitoring, Nov. 21, 2014 - Annual Eligibility Redetermination for Exchange Participation and Insurance Affordability Programs, Nov. 13, 2014 - Referral Process for Disability Determination Services, Oct. 21, 2014 - Case Processing for FNS and Medicaid, Aug. 29, 2014 - Process to submit policy questions for Medicaid and Work First to the Operational Support Team, June 13, 2014 - Accelerated Medicaid Processing Plan, March 11, 2014 - Managed Care Organizations (MCO), Feb. 25, 2014 - Beneficiary Notice Regarding Changes and General Information for Medicaid and N.C. Health Choice Beneficiaries, Jan. 13, 2014 - 2014 Application Monitoring, Jan. 7, 2014 - New Medicaid ID Card for former NCHC beneficiaries and FAQs, Nov. 26, 2013 - Application Time Standards chart for 2014, Nov. 26, 2013 - Preparation for Conversion and 2014 Redetermination Process, Nov. 25, 2013 - Work First/Transitional Reporting Schedule for 2014, Nov. 21, 2013 - County Cooperation with NCDVA, Nov. 21, 2013 - HCWD Greater than 200% FPL Implementation, Nov. 15, 2013 - Beneficiary Notice regarding a three month re-enrollment period extension, Oct. 11, 2013 - Alien Reviews for Emergency Service, Oct. 2, 2013 - Non-Emergency Medical Transportation (NEMT) Compliance Reviews, Sept. 3, 2013 - Managed Care Organizations (MCO), June 25, 2013 - Social Security Administration (SSA) Reports, March 11,2013 - Beneficiary Notice Regarding Changes and General Information for Medicaid and NCHC Recipients, Feb. 22, 2013 - Behavioral Health Expansion, Jan. 25, 2013 - Behavioral Health Expansion, Dec. 13, 2012 - 2013 Application Monitoring, Dec. 12, 2012 - Consolidated Personal Care Services (PCS) Program, Dec. 10, 2012 - Special Beneficiary Notice regarding a change in Medicaid coverage for certain drugs, Dec. 7, 2012 - Behavioral Health Expansion, Dec. 6, 2012 - Work First/Transitional Reporting Schedule for 2013, Nov. 15, 2012 - Behavioral Health Expansion, Nov. 14, 2012 - Aligned Certification Periods for Medicaid and Food and Nutrition Services, Nov. 14, 2012 - Eligibility Policy Clarification Concerning Indian Health Services (IHS), Oct. 31, 2012 - Community Care of North Carolina/Carolina Access (CCNC/CA) Medical Home Enrollment Project for Special Assistance Recipients, Oct. 4, 2012 - Mandatory County Visits by Regional Consultant Team, Oct. 4, 2012 - CCNC/CA Exemption Codes 9900646, 9900648, 9900649, Oct. 3, 2012 - Community Care of North Carolina/Carolina ACCESS (CCNC/CA) Medical Home Enrollment Project, Sept. 20, 2012 - Beneficiary Notice regarding changes and general information for Medicaid and NCHC recipients, Sept. 14, 2012 - Application Time Standards Chart for 2013, Sept. 14, 2012 - Low Income Subsidy Part D and Prescription Drug Plan Reassignments, Sept. 11, 2012 - Revised Work First/Transitional Reporting Schedule for 2012, Aug. 31, 2012 - Important Upcoming EIS Changes, Aug. 30, 2012 - Special Notice to Beneficiaries Residing in Licensed Adult Care Homes, Aug. 24, 2012 - Consumer Assessment of Health Care Providers (CAHPS), Patient Satisfaction Survey, June 14, 2012 - Behavioral Health Expansion, June 06, 2012 - Medicaid Program Representatives County Reassignments, May 10, 2012 - Alien Emergency Service Reviews, May 4, 2012 - Adult Care Homes At-Risk for Designation as Institutions for Mental Disease, April 4, 2012 - Program Integrity and Expectations, March 27, 2012 - Recipient Notice regarding changes and general information for Medicaid and NCHC recipients, March 16, 2012 - Behavioral Health Expansion, March 16, 2012 - Erroneous Eligibility Segments, March 15, 2012 - NEMT implementation – adjustment to timelines, March 08, 2012 - Instructions regarding the 2012 Poverty Level Income Limits, Jan. 27, 2012 - Medicaid Program Representative Temporary Assignments, Jan. 20, 2012 - Order Restoring Services to Recipients Denied In-Home Care for Adults (IHCA) Transition, Dec. 19, 2011 - 2012 Application Monitoring, Dec. 12, 2011 - Verification of Wells Fargo Accounts for Public Assistance Recipients, Dec. 1, 2011 - NEMT trainings on Jan. 1, 2012 policy change, Nov. 30, 2011 - Piedmont Behavioral Health Expansion, Nov. 28, 2011 - Fostering Connections and Enrolling Adoption Assistance and Foster Care Children into CCNC, Oct. 17, 2011 - Alien Emergency Service Reviews, Oct. 12, 2011 - LIS Part D and PDP Reassignments, Sept. 28, 2011 - Piedmont Behavioral Health Expansion, Sept. 27, 2011 - Medicaid Program Representative Temporary Assignments, Sept. 16, 2011 - NCHC Transition and new Identification Cards, Aug. 26, 2011 - CCNC/CA Identified Enrollees, Aug. 3, 2011 - Application Time Standards Chart for 2012, Aug. 1, 2011 - Recipient Notice regarding changes resulting from the Budget Bill, tobacco cessation promotion and general information concerning CCNC/CA and Family Planning Waiver, June 30, 2011 - Medicaid recipient notice regarding excessive use of CT scans, June 20, 2011 - Healthy and Ready to Learn Outreach Initiative Expansion, June 10, 2011 - Work First/Transitional Reporting Schedule for 2012, June 6, 2011 - Home and Community Care Block Grant Provider use of Common Name Date Service (CNDS), May 10, 2011 - Appropriate Data Access for Volunteers and Interns, April 28, 2011 - NC Health Insurance Premium Payment (HIPP) program, April 4, 2011 - Recipient Notice regarding appeal rights, medical services general information and changes, March 21, 2011 - Clarification Regarding Increased Federal Matching Funds for Translation and Interpretation Services under Medicaid and CHIP, Jan. 31, 2011 - County Holiday Schedule Changes, Jan. 31, 2011 - North Carolina Medicaid Notice of Privacy Practices, Jan. 13, 2011 - Increased Federal Matching Funds for Translation and Interpretation Services under Medicaid and CHIP, Dec. 30, 2010 - 2011 Application Monitoring, Oct. 28, 2010 - LIS Part D and PDP Reassignments, Sept. 17, 2010 - 2010 NC Health Choice Denial CARR, Aug. 17, 2010 - Recipient Notice: Changes in Medical Services, July 28, 2010 - Healthy and Ready to Learn Outreach, July 15, 2010 - Application Time Standards Chart for 2011, June 25, 2010 - Recipient Notice: North Carolina Medicaid Recipient Management Lock-In Program, May 20, 2010 - Work First/Transitional Reporting Schedule for 2011, May 12, 2010 - North Carolina Medicaid Preferred DrugList/Medicaid Fraud and Abuse, April 28, 2010 - Revised Estate Recovery Forms, March 22, 2010 - Medicaid Consumer Guides.
Managed care is a system under which people agree to see only certain doctors or go to certain hospitals, as in a health maintenance organization, or HMO, or a preferred provider organization, or PPO, health-insurance plan. Medicaid managed care enrollment in North Carolina set to begin in March. EXPLAINER: Why AP called the 2020 election for Joe Biden, Increasingly normal: Guns seen outside vote-counting centers, Texas tops 1 million cases as COVID-19 surge engulfs the US, Sign of the times: NCDOT wants Jefferson Davis Highway markers gone, Sewage treatment plant warehouse fire sends black smoke billowing in Asheville. He was arrested when he came back. 0
Health Check and EPSDT provide for the complete care of children and youth in Medicaid. %%EOF
NC Medicaid is providing additional funding to support nursing homes and adult care homes for older adult Medicaid beneficiaries diagnosed with or at high risk of contracting COVID-19. Learn more about Medicaid lead screening policy.
In order to increase cash flow to providers of services and suppliers impacted by the 2019 Novel Coronavirus (COVID-19) pandemic, the Centers for Medicare & Medicaid Services (CMS) has expanded our current Accelerated and Advance Payment Program to a broader group of Medicare Part A providers and Part B suppliers. endstream
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It is the responsibility of states to determine medical necessity on a case-by-case basis. Necessary health care services must be made available for treatment of all physical and mental illnesses or conditions discovered by any screening and diagnostic procedures. ������F(�Fn �P�+8:��j�dK� Q`��L1u�U���� B,�&�,��B`+�� a! The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid. Five years' worth of often-controversial public health and legislative debate culminated July 3 when Democratic Gov. Early and Periodic Screening, Diagnosis and Treatment (EPSDT) is the federal law that says Medicaid must provide all medically necessary health care services to Medicaid-eligible children. States share responsibility for implementing the EPSDT benefit with the Centers for Medicare & Medicaid Services. More than a century ago, the United Daughters of the Confederacy sought to have a highway named for the Confederate president. As one outcome of a National EPSDT Improvement Workgroup, the Center for Medicaid & CHIP Services is developing a set of strategy guides, each on a specific topic, to support states and their partners as they implement the EPSDT benefit. h�b```b``�e`e`��� Ā B,@Q�'��������0�ဧ��
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��L8D~6$~�wa{�$y��A��m��Vf��f�{w�ԙ7gV�Z 6��I�g}K� ό9s~-8�y�\�ft���j��k_ %�. NC Department of Health and Human Services EPSDT is key to ensuring that children and adolescents receive appropriate preventive, dental, mental health, and developmental, and specialty services.
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Thursday, April 16. State's results in attaining goals set under section 1905(r) of the Social Security Act. The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid. The goal of this benefit is to ensure that children under the age of 21 who are enrolled in Medicaid receive age-appropriate screening, preventive services, and treatment services that are medically necessary to correct or ameliorate any identified conditions – the right care to the right child at the right time in the right setting. Each state is required to develop a dental periodicity schedule in consultation with recognized dental organizations involved in child health. The PHPs are Centene (operating as WellCare of N.C.), AmeriHealth Caritas N.C., Blue Cross and Blue Shield of North Carolina (operating as Healthy Blue) and UnitedHealth Group. Get email alerts on latest news and upcoming events. These programs serve a variety of targeted populations groups, such as people with intellectual or developmental disabilities, physical disabilities, and/or mental illnesses. DHHS expects that $500 million of those expenses could be offset by federal stimulus bonus payments. Some of the initial Medicaid transformation funding would go toward patient enrollment-broker contracts, provider credentialing, data analytics and other program-design components. While substantial environmental improvements have been made to reduce exposure to lead, there are still over four million children estimated to reside in housing where they are exposed to lead. The Mississippi Division of Medicaid is working to add new procedure codes that can be used by providers and laboratories to bill for certain Coronavirus Disease 2019 (COVID-19) diagnostic tests to increase the testing and tracking of new cases.
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