The COVID-19 Public Health Emergency is to end on May 11, 2023. The ending of the Public Health Emergency may impact an individual’s coverage of COVID-19 tests.
NC Medicaid: Changes to Reimbursement Methodology for 340B Long-Acting Reversible Contraception
From NCTracks News and Updates: In accordance with the Pharmacy Clinical Policy, Physician Administered Drug Program (PADP), NC Medicaid will implement changes to the reimbursement methodology for 340B Long-Acting Reversible Contraception (LARC) on March 12, 2023.
Effective Nov. 3, 2022, all fee schedules currently listed on the NC Medicaid website will be moved to a new fee schedule and covered code website available to the public. The new website offers enhanced search options for fee schedules, covered procedure codes and covered revenue code data.
From Blue Cross Blue Shield of North Carolina:
Beginning November 1, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) will not allow separate reimbursement for office/outpatient or inpatient consultation codes.
You play a crucial role in testing, treating and vaccinating uninsured individuals, or those with limited health care coverage.
On Tuesday, January 25, HHS announced that it is disbursing an additional $2 billion in Provider Relief Fund Phase 4 payments. Like the payments allocated in December, these will be based on lost revenues and increased expenses due to COVID-19 and will be made to health care providers who previously applied for relief funds.
Blue Cross NC has made the business decision to update the Status Codes Reimbursement Policy, effective January 21, 2022.