NC Medicaid COVID-19 Bulletins #93 & #94 Available

The NC Division of Health Benefits (DHB) has recently published more Medicaid Bulletins related to COVID-19:

SPECIAL BULLETIN COVID-19 #93: Targeted Rate Increase, Additional Hours and Associated Reporting Requirements for In-Home Personal Care Services (PCS) Providers under State Plan PCS and CAP/C and CAP/DA Programs

NC Medicaid is implementing a targeted rate increase and additional billable hours for State Plan and CAP/C and CAP/DA In-Home Personal Care Service (PCS) providers for direct service to a COVID-19-positive (COVID+) beneficiary. This bulletin:

  • Clarifies how this targeted rate increase and additional billable hours are in addition to other recently implemented base rate increases for these providers
  • Explains the details of the targeted rate increase and additional billable hours
  • Outlines the eligibility requirements that a provider must meet to receive the targeted rate increase and additional billable hours for direct service to a COVID+ beneficiary

Read on

 

SPECIAL BULLETIN COVID-19 #94: Second Increase in Therapeutic Leave Days for ICF/IDD Facilities Due to COVID-19

NC Medicaid is temporarily increasing the number of therapeutic leave days for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IIDs) from 60 days to 120 days. This is a change from the previous increase to 90 days. NC Medicaid continues to waive the requirement of approval needed for more than 15 consecutive days per Clinical Coverage Policy 8E

More information

All Medicaid Bulletin articles, including those related to COVID-19, may be found on the DHB website.