Topics Related to Division of Health Benefits

Committee to make final decisions on submitted applications, quality determinations and compliance with regulatory requirements.
Public Comments Requested by May 30, 2025.
Providers should be aware of recent changes for Skilled Nursing Facilities, Hospice Organizations, and Portable X-ray Suppliers taxonomies.
NC Medicaid’s Electronic Visit Verification (EVV) vendor, Sandata, will implement multi-factor authentication process for those accessing Sandata EVV and the Aggregator portals.
The program is seeking current Medicaid providers to become early adopters of two new use cases of the state-designated health information exchange.
The Per Diem Rate Methodology for Congregate Settings effective April 1, 2025.
Public comments requested by May 7, 2025.
NC Medicaid’s Electronic Visit Verification (EVV) system for Home Health ensures compliance with federal requirements
This corrects the end-date for code G9920 in the December 2024 bulletin.
Information on Provider Ombudsman, CFSP, and Upcoming Credentialing Changes.