Provider rate increases:

NC Medicaid is extending all current COVID-19 temporary provider rate increases through November 30, 2021! Learn more here.

• From the NC Medicaid 2021 Provider Playbook, you will find Updated FAQs on Medicaid Managed Care Claims and Prior Authorizations. Some examples of FAQ topics include: how to file a claim with each of the PHPs, what information is needed from the provider to file the claim,  portal messaging and how to submit prior authorizations to a health plan and many other topics.  There are helpful links and the PHP Claims Schedule through October 2021.
  

On September 29, HRSA announced a new funding opportunity for health care providers affected by the COVID-19 pandemic. This funding will include $8.5 billion in American Rescue Plan (ARP) funding for providers who serve rural Medicaid, CHIP, or Medicare patients, and an additional $17 billion for Provider Relief Fund (PRF) Phase 4. To expedite the funding process, providers will apply for both programs in a single application and HRSA will use existing Medicaid, CHIP and Medicare claims data in calculating payments. 

The Centers for Medicare and Medicaid Services (CMS) is hosting a Quality Payment Program webinar on Thursday September 30, 2021 from 2-3 PM to provide an overview of the 2021 Alternative Payment Model (APM) Incentive Payment for Qualifying APM Participants.

The Biden-Harris Administration will require COVID-19 vaccination of staff within all Medicare and Medicaid-certified facilities to protect both them and patients from the virus and its more contagious Delta variant.  Facilities across the country should make efforts now to get health care staff vaccinated to make sure they are in compliance when the rule takes effect.

COVID-19 Clusters among Schools and Sports Teams

Have you responded to the NC Emergency Response Survey?