April 2017 Medicaid Bulletin Available

The April 2017 Medicaid Bulletin is now available on the N.C. Division of Medical Assistance (DMA) website. The Medicaid Bulletin contains information about a variety of topics, including:

  • Avoiding Common Pitfalls with Medicaid Claims
  • New Coverage and Prior Approval Requirements for Spinal Surgeries
  • Medicaid and N.C. Health Choice Provider Fingerprint-based Criminal Background Checks
  • Affiliation Claim Edit – Clarification
  • Proposed Clinical Coverage Policies
  • Re-credentialing Due Dates for Calendar Year 2017
  • Upload Documents in NCTracks Provider Portal
  • Claims that Contain NDCs Related to Vaccine CPT Codes
  • Reminder about Community Care of NC/Carolina ACCESS Payment Authorization
  • Reprocessing of Claims and Medicare Crossover Claims subject to 3 Percent Rate Reduction

There are also several articles that are claim type specific. Providers are encouraged to review this important information.

The 2017 Medicaid Bulletins web page includes the current and past bulletins.