Issued: May 29, 2020
Additional Provider Information Sessions
Partners is continuing to host Provider Information Sessions that are focused on provider input and brainstorming. To register for a session, click on the date and time listed below. You may submit your questions to firstname.lastname@example.org in advance; we also recommend that you review the FAQs from past information sessions.
Information Sessions will be held:
Important Information about Appendix K
The Centers for Medicare & Medicaid Services (CMS) has approved North Carolina’s request to amend the NC Innovations waiver with the Emergency Preparedness and Response Appendix K in order to respond to the COVID-19 pandemic. The amendment that the state has requested in this Appendix K is additive to the Appendix K approved April 6, 2020, is effective from April 30, 2020 through March 12, 2021.
View Appendix K at https://www.medicaid.gov/state-resource-center/downloads/nc-0423-2-appendix-k-appvl.pdf. Partners will review the changes in the June 3, 2020 provider information session
Claims Processing Information
Beginning July 1, 2020, the authorization edit will be enabled.
What this means for providers and claims processing:
- Any claims submitted after June 30, 2020 will deny if there is no authorization and an authorization is required for the procedure code.
- Claims dated March 19, 2020-June 30, 2020 will be manually processed if the claims deny for no authorization only.
- We encourage providers to submit claims as soon as possible to prevent claims from going through the manual process. This will ensure provider claim reimbursement in a timelier manner.
Taxonomy Code 193200000X: Taxonomy Code 193200000X should not be submitted on claims as the rendering taxonomy code. All claims submitted with this taxonomy code as the rendering code will be reverted.