Attention: Hospice Providers CBSA Codes and Hospice Payment Reform

CBSA Codes

Effective October 1, 2016, the Core Based Statistical Area (CBSA) delineations will be revised as indicated in the table below.

FY 2016 October CBSA Code	CBSA Name	FY 2017 October CBSA Code
50103	Rural North Carolina	99934
50104	Rural North Carolina	99934
50105	Myrtle Beach-Conway-North Myrtle Beach, SC-NC	34820
50106	Charlotte-Concord-Gastonia, NC-SC	16740
50107	Virginia Beach-Norfolk, Newport News, VA-NC	47260
50108	Winston-Salem, NC	49180
50109	Winston-Salem, NC	49180
50110	Virginia Beach-Norfolk, Newport News, VA-NC	47260
50111	Rural North Carolina	99934
50112	Charlotte-Concord-Gastonia, NC-SC	16740

These changes will be reflected on the Hospice fee schedule and posted on the N.C. Division of Medical Assistance (DMA) website prior to the effective date of the change.

 

Hospice Payment Reform

As previously communicated in a January 2016 Medicaid Special Bulletin, CBSA Codes and Hospice Payment Reform, the Centers for Medicare and Medicaid Services (CMS) issued guidance on Hospice Payment Reform (42 CFR 418). CSRA is in the process of implementing NCTracks system changes to be in compliance with these federal requirements, with an anticipated completion of Spring 2017.

A systematic reprocessing of claims with dates of service January 1, 2016, forward will occur following the implementation date in NCTracks. Additional information will be communicated in the Medicaid Bulletin when it becomes available. Those with questions can contact Michelle Counts in Provider Reimbursement at 919-814-0059.