Practice Support Update Blog

Are you a Current Carolina Access (CAII) Provider?

Feb 17, 2021 2:00:00 PM / by Practice Support Team

Effective January 1, 2021, NC Medicaid and NC Health Choice is temporarily covering Healthy Opportunities screenings to encourage providers to gain capacity for screening Medicaid beneficiaries for unmet health-related resource needs and referring them to appropriate community-based resources, prior to the launch of Medicaid managed care. 

Current Carolina Access (CAII) providers are eligible to bill code G9919 for positive healthy opportunities screenings conducted using the Department’s standardized screening questions. Coverage of this code will continue through June 30, 2021; continued coverage after managed care launch will be at the discretion of the Health Plans.  

Medicaid

To claim reimbursement for positive Healthy Opportunities screenings under the HOSAR payment program, providers completed the screening using the Department’s standard screening questions or an equivalent instrument with similar questions covering beneficiary needs related to the Department’s four priority domains:  

– Food insecurity – Housing instability – Lack of transportation – Interpersonal violence 

 

Standard screening questions are available at https://www.ncdhhs.gov/about/department-initiatives/healthy-opportunities/screening-questions 

 

Positive screenings are screenings with one or more “yes” answers in at least one of the four Healthy Opportunities domains 

 

Please see DHHS website for more information about HOSAR: 

https://medicaid.ncdhhs.gov/blog/2021/02/01/temporary-clinical-policy-modifications-payment-healthy-opportunities-screening-and  

 

New call-to-action

 

Tags: Medicaid, Healthy Opportunities

  • There are no suggestions because the search field is empty.

Practice Support Services

Health care practices in North Carolina face many challenges. Our team of quality improvement coaches (QICs) have skills and expertise to support you in your transformation efforts.

To learn more about Practice Support Click Here

Apply for practice support services - fill out an application here

Subscribe to Blog Updates

Additional Resources:
Tip Sheets
Lib Guides
Interactive Resource Guides
Digital Library
New call-to-action
Join email list

Connect With Us:

Posts by Topic

See all

In Case You Missed It... Check Out These Recent Posts