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.

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.