All Providers Bulletin Index
The following is a list of Medicaid General and Special Bulletin articles that pertain to all providers.
- 2006 ICD-9-CM Diagnosis Codes, 4/06
- 2006 Revised Fee, 7/06
- 2007 ICD-9-CM Procedure and Diagnosis Codes, 2/07
- 2007 Legislative Rate Allocation, 7/07
- 2007 Medicare Fee Schedule, 5/07
- 2008 ICD-9-CM Procedure and Diagnosis Codes, 1/08
- 2009 Checkwrite Schedule, 11/08
- 2010 Census, 3/10
- 2010 Checkwrite Schedule, 10/09
- A New Look for the Medicaid Bulletin, 4/01
- A Reminder about Preadmission Screening and Annual Resident Reviews, 12/03
- A Reminder about the Piedmont Cardinal Health Plan, 11/08
- Abortion Procedures - Revision to Billing Guidelines, 10/03
- About ACS, 7/04
- Accepting a Medicaid Recipient: 10/07; 1/08
- Accessing Hospice Participation Information on Automated Voice Response, 5/00
- Addition of OTC Cetirizine to the Over-the-Counter Medications Coverage List, 3/08
- Additional CMS Guidance on Tamper-resistant Prescription Pads, 3/08
- Additional Medicaid Fair Handbooks Still Available, 3/00
- Additions to Covered Diagnostic and Therapeutic Radiopharmaceuticals, 11/05
- Adjusting North Carolina Medicaid Claims Electronically, 2/10
- Ambulatory Visit Limits and Diagnosis Code V900, 6/03
- Ambulatory Visits and Diagnosis Code V82.9, 1/05
- Amendment Approval to the Family Planning Waiver, 3/10
- Anesthesia - Conversion from CPT Surgical Coding to CPT Anesthesia Coding, 5/03
- Anesthesia - Billing CPT Anesthesia Codes Instead of Surgical Codes, 1/03
- Anesthesia Billing for Labor and Delivery, 11/03
- Anesthesia Services Conversion to CPT Anesthesia Codes, 9/03
- Are You Ready for National Provider Identifiers?, 4/09
- Automated Voice Response System Instructions, 12/04
- Automated Voice Response System Provider Inquiry Instructions, Special Bulletin II, July 2001
- Automated Voice Response System Reminder, 8/01
- Baby Love Program Provider Application Available on the Internet, 5/08
- Basic Medicaid Seminars: 2/00; 3/00; 2/01; 3/01; 5/01; 8/01; 2/02; 3/02; 1/05; 2/06; 8/06; 9/06; 3/07; 9/07; 2/08; 3/08; 8/08; 9/08; 10/08; 2/09; 3/09; 8/09; 2/10; 3/10; 8/10; 9/10
- Basic Medicaid Seminars Rescheduled to June 2001, 4/01
- Billing Agents, 11/01
- Billing CPT Procedure Code 72295 with Modifiers 76 or 77, 7/09
- Billing CPT Procedure Codes 93541, 93542, and 93543 with Modifier 51, 7/09
- Billing for Labor and Delivery Anesthesia, 7/02
- Billing for Medicare Part B with the CMS-1500 Claim Type, 5/04
- Billing Forms, 9/06
- Billing Guidelines for ICD-9-CM Diagnosis, 10/04
- Billing Nerve Conduction Studies, 10/01
- Billing of Radiopharmaceuticals and Pharmaceutical Stress Agents for Myocardial Perfusion Testing, 8/02
- Billing Professional Component for Fluoroscopy, CPT Code 76000, 11/01
- Billing with the North Carolina Electronic Claims Submission Web Tool, 8/09
- Billing With CPT Procedure Codes 72291 and 72292, 2/09
- Bone Mass Measurement, 3/09
- Breast and Cervical Cancer Control Program Guidelines, 1/02
- Breast Imaging Policy: 6/07; 9/07
- Business Associate Agreements, 5/03
- CAP/Choice – A Pilot Program of Consumer Directed Care, 1/05
- Changes in Banks for EDS: 9/08; 12/08
- Change in Billing Requirements for Anesthesia Codes 01961, 01968, and 01969, 9/04
- Change in Deadline for Resubmission of Denied Claims for Annual Exam Visits for Family Planning Waiver Recipients, 3/09
- Change in Medicaid Co-payments, 10/05
- Change in Procedure Codes Covered Under the Family Planning Waiver, 6/09
- Change to Checkwrite and Electronic Cut-Off Schedule for September 2002 and October 2002, 9/02
- Changes to Copayment for Brand Name Medicines, 10/01
- Changes to CPT 2000 Coverage, 3/00
- Changes to the EOB Code Crosswalk to HIPAA Standard Codes, 7/10
- Changes to the N.C. Medicaid Preferred Drug List, 8/10
- Changes to Format for Submitting Coordination of Benefits Agreement Eligibility Files, 2/07
- Changes to N.C. Health Choice Benefit Cards, 5/08
- Changes to Prior Authorization Criteria for Growth Hormones, 6/09
- Changes to Prior Authorization Criteria for Sedative Hypnotics, 6/09
- Changes to the Electronic Remittance Advice (835 Transaction), 3/09
- Changes to the Initial Hemoglobin or Hematocrit Health Check Screening Component, 4/02
- Changes to the Prior Approval Process and Requests for Non-Covered Services CPT Code Update 2006, 1/06
- Checkwrite Schedule: 4/04; 5/04; 6/04
- Checkwrite Schedule Reminder, 12/04
- Chest X-ray Unit Limitation Denials, 8/08
- Circumcision Policy for Newborns, 10/01
- Citizenship and Identity Documentation, 9/07
- Citizenship/Identity Changes, 7/06
- Claim Adjustments for Physician, Laboratory, and Independent Mental Health Procedure Codes: 3/04; 5/05; 7/05
- Claim Payments Suspend, 12/02
- Clarification for Completing the W-9: 6/06; 7/09
- Clarification from CMS on the Use of Plain Paper for Computer-generated Prescriptions, 9/08
- Clarification of Bariatric Surgery Requirements, 9/10
- Clarification of Policy on “Stat” Charges, 4/01
- Clarification on Procedures
for Reviewing Prior Approval Requests and for Obtaining Additional Information, 1/10
- Clarification on the Provider Enrollment Fee, 3/10
- Clinical Coverage Policies: 9/04; 10/04; 12/04; 1/05; 2/05; 3/05; 5/05; 7/05; 8/05; 9/05; 10/05; 11/05; 12/05; 1/06; 2/06; 3/06; 4/06; 5/06; 6/06; 7/06; 8/06; 9/06; 12/06; 1/07 ; 2/07; 3/07; 4/07; 5/07; 6/07; 7/07; 8/07; 9/07; 10/07; 11/07; 1/08; 2/08; 3/08; 4/08; 5/08; 6/08; 7/08; 8/08; 9/08; 10/08; 11/08; 12/08; 1/09; 2/09; 3/09; 4/09; 5/09; 6/09; 7/09; 8/09; 9/09; 10/09; 3/10; 4/10; 6/10; 8/10; 9/10
- Clinical Laboratory Improvements Amendment, 2/04
- Clinical Laboratory Improvements Amendment Certification Number Requirements, 2/04
- Clinical Policy and Programs, 9/04
- Code Changes for Radiopharmaceuticals, 1/05
- Coming Soon: Remittance and Status Reports in PDF Format, 4/10
- Community Alternatives Program for Disabled Adults Referrals and Service Coordination, 3/01
- Community Care of North Carolina/Carolina ACCESS (CCNC/CA)
- Compliance Date for HIPAA Electronic Transactions: 5/05; 6/05; 9/05
- Compression Garments: 7/05; 9/05
- Condition Codes D7 and D9 Change for Medicare Overrides, Part A and Part B, 9/03
- Conference Calls for Providers, 2/06
- Contact Information for EDS Finance and Remittance Payments, 7/08
- Contact Information for EDS Finance, 7/06
- Contacting EDS – Automated Attendant Telephone Line Instructions, 9/07
- Contacting EDS Providers Services and Electronic Commerce Services, 12/04
- Contacting EDS - AVRS Instructions, 3/06
- Contract Awarded for Medicaid Fiscal Agent Services, 6/04
- Copayment Amounts for Recipients, 4/02
- Copayments and Copayment
Exemptions, 1/10
- Corrected 1099 Requests:
- Action Required by March 15, 2000: 1/00; 2/00
- Action Required by March 1, 2001: 1/01; 2/01
- Action Required by March 1, 2002: 1/02; 2/02
- Action Required by March 1, 2003: 1/03; 2/03
- Action Required by March 1, 2004: 1/04; 2/04
- Action Required by March 1, 2005, 1/05
- Action Required by March 1, 2006: 10/05; 3/06
- Action Required by March 1, 2007: 2/07; 3/07
- Action Required by March 1, 2009: 1/09; 2/09
- Action Required by March 1, 2010, 1/10
- Corrected 2007 Checkwrite Schedule, 1/07
- Corrected Diagnosis Code for DTaP-Hib-IPV (Pentacel, CPT Procedure Code 90698), 1/09
- Corrected Diagnosis Code for DTaP-IPV (Kinrix, CPT Procedure Code 90696), 1/09
- Corrected Diagnosis List for CPT Codes 93228 and 93229, 4/09
- Correction to March 2008 Article Titled Update: PedvaxHIB Recall - Reimbursement for PedvaxHIB and ActHIB Allowed for UCVDP/VFC Program Eligibles, 4/08
- Correction to RHO (D) Immune Globulins (HCPCS Procedure Codes J2788, J2790, and J2792) Billing Guidelines Article Published in the April 2007 Medicaid General Bulletin, 5/07
- Correction to Sleep Studies and Polysomnography Services Policy, 9/07
- Correction to the 2006 CPT Code Update, 2/06
- Correction to the August 2000 Bulletin Article "Modifier 25 and Minor Procedures", 10/00
- Correction to Updated CPT Codes 90467, 90468, 90473 and 90474 - Coverage of Immunization Administration Codes for Oral/Intranasal Vaccines, 3/07
- County of Residence for Adults in a Private-Living Situation with Medicaid for the Aged, Blind or Disabled, 8/09
- Coverage for CPT Codes 59015, 76945, 76820 and 76821: 9/07; 10/07
- Coverage of 7-Valent Pneumococcal Polysacchride-Protein Conjugate Vaccine (PCV7), 12/00
- Coverage of Atrial Septectomy or Septostomy, 11/00
- Coverage of Orthotic and Prosthetic Devices, 8/05
- Coverage of Prescription Vitamin and Mineral Products, 8/10
- CPT Anesthesia Codes, 11/03
- CPT Code 32551 and Modifiers 50 and 51, 8/08
- CPT Code 77002 Denials, 2/08
- CPT Code 77003 Denials: 7/07; 9/07; 2/08;
- CPT Code 99420, 6/10
- CPT Code Bundling, 4/02
- CPT Code Update:
- CPT Code Update for 2002: Time Limit Override for New Codes, 8/03
- CPT Codes 64490, 64491, 64492, 64493, 64494, and 64495, 4/10
- CPT Codes 83900 and 83901,92630 and 92633 Billing Requirements, 11/06
- CPT Codes 90465 and 90466 - New Immunization Administration Codes for Recipients under Eight Years of Age, 7/05
- CPT Codes 90467, 90468, 90473 and 90474 - Coverage of Immunization Administration Codes for Oral/Intranasal Vaccines:
- CPT Codes 92978 and 92979 (Intravascular Ultrasounds) and Diagnosis List, 9/08
- CPT Codes 93000, 93005, and 93010 (Electrocardiograms) and Denials, 9/08
- CPT Codes Covered for Dates of Service on or After January 1, 2002, 7/03
- CPT Codes End-Dated for 2002, 4/02
- CPT Procedure Code 89049, 8/09
- CPT Procedure Code 99170 Diagnosis List, 2/09
- CPT Procedure Codes 34812 and 34820 with Modifier 50, 2/10
- CPT Procedure Codes 72295 and 62290, 2/09
- CPT Procedure Codes 93320, 93321, and 93325, 6/09
- CPT Update for 2003, 1/03
- Credentialing Requirements – Correction to Terminology, Provider Enrollment Guidelines, 3/01
- Critical Access Behavioral Health Agencies: 5/10; 6/10
- CSC to Assume N.C. Medicaid Provider Enrollment, Credentialing, and Verification Activities: 3/09; 4/09; 5/09
- CSC to Initiate 12-Month Provider Verification and Credentialing Activities: 6/09; 7/09
- Cytogenetic Studies: 10/01; 10/08
- Decavac - Coverage in the UCVDP/VFC Program and Billing Guidelines , 12/05
- Deferment of Inflationary Rate Increases, 11/08
- Delay in Discontinuing Automatic Newborn Coverage to Children Born to Mothers Receiving Emergency Medicaid, 3/07
- Delayed Implementation/Training Cancellation for the New Medicaid Uniform Screening Tool, 6/07
- Denials for CPT Procedure Code 20551, 12/08
- Denials for CPT Procedure Code 96372 with an FP Modifier, 5/09
- Denials for CPT Procedure Codes 76376 and 76377, 2/09
- Denials for CPT Procedure Codes 96401 and 96402, 12/08
- Denials for Endovascular Graft Repair of Thoracic Aortic Aneurysm, 4/09
- Denials of CPT Procedure Code 29873 with Modifier 51, 6/09
- Denials of CPT Procedure Codes 93320, 93321, and 93325, 2/10
- Denials of CPT Procedure Code 96360, 96365, 96374, and 96375, 6/09
- Denials on Sterilization and Abortion Procedures, 8/01
- Denials with CPT Procedure Code 72295, 2/10
- Denied Managed Care Claims, 8/00
- Depo-Provera (Medroxyprogesterone Acetate, HCPCS Code J1051, 50 mg Injection) - Billing Guidelines, 10/03
- Dexamethasone Acetate (HCPCS Code J1094, 1 mg Injection) - Billing Guidelines, 10/03
- DHHS Awards Contract for Replacement MMIS, 2/09
- Diagnosis Code V82.9 and Pediatric Recipients, 8/08
- Dietary Evaluation and Counseling, 11/09
- Discontinuing Automatic Newborn Coverage to Children Born to Mothers Receiving Emergency Medicaid, 2/07
- DMA Prior Approval Information Web Page, 4/10
- DMA Budget Initiative Web Page: 7/09; 8/09; 10/09
- DMA Website Redesign, 1/09
- Drug Coverage for Impotence Drugs, 8/02
- DTap-Hib-IPV (Pentacel, CPT Procedure Code 90698) - Billing Guidelines, 12/08
- DTap-IPV (Kinrix, CPT Procedure Code 90696) - Billing Guidelines, 12/08
- Early and Periodic Screening, Diagnosis and Treatment: 3/05; 12/05
- Early and Periodic Screening, Diagnosis and Treatment and Health Check, Special Bulletin, December 2005
- EDS Address List, 9/04
- EDS Announces New Name: 11/09; 12/09
- Effective Dates For Revised Billing Forms, 11/06
- Electrocardiography, Echocardiography, and Intravascular Ultrasound, 6/08
- Electronic Adjustments, 12/04
- Electronic Claim Submission EOB Code:
- Electronic Claims Submission, 7/09
- Electronic Claims Submission Exceptions:
- Electronic Claims Submission and Fund Transfers, 6/09
- Electronic Data Interchange Update, 8/02
- Electronic Data Systems (EDS) Provider Services, 11/06
- Electronic Filing Tips, 3/00
- Electronic Funds Transfer:
- Electronic Funds Transfer Form - Fax Number Change for Submittals:
- Electronic Funds Transfer Form - Revised Form, 7/06
- Electronic Funds Transfer Requirement, 9/09
- Electronic Medicare Overrides, 8/09
- Electronic Recipient Eligibility Verification Tool, 9/09
- Electronic Submissions of FL2s, 8/03
- Elimination of Coverage for Bariatric Surgery, 8/10
- End-Dated Coverage of Panniculectomy, 8/10
- End-Dated Coverage of Panniculectomy: Correction to Procedure Code, 9/10
- End-Dated CPT Codes, 1/01
- Endoscopy CPT Base Codes and the Related Procedures for Group 25, 5/01
- Endoscopy CPT Base Codes and Their Related Procedures: 7/00; 8/00; 4/01; 1/03; 9/03; 5/04
- Enrollment Fee Update, 9/10
- EOB Code Crosswalk to HIPAA Standard Codes, 1/04
- EOB Code Revisions, 10/09
- EOB Codes for National Provider Identifiers, 3/09
- Epirubicin Hydrochloride (Ellence), 50 mg (J9180) – Billing Guidelines, 9/02
- Epogen HCPCS Code Change for Dialysis Facilities and Physician's Drug Program, 4/07
- Epogen HCPCS Code Changes for the Physician Drug Program, 4/06
- EPSDT Policy Instructions Update, 10/07
- Essure and Hysterosalpingogram Implementation, 7/08
- Exceptions and Appeals Information from CMS, 3/06
- Expanded Foster Care Program, 10/07
- Expansion of Provider Types for Outpatient Behavioral Health Services Seminars:
- Extension of Medicare Part D Transitional Coverage Period, 3/06
- Extracorporeal Shock Wave Lithotripsy, 5/02
- Facsimilies and Electronic Signatures, 11/00
- Facts for Providers Regarding the Medicare Prescription Drug Plan, 5/05
- False Claims Act Education, 9/07
- False Claims Act Education Compliance for Federal Fiscal Year 2007, 9/08
- False Claims Act Education Compliance for Federal Fiscal Year 2008, 7/09
- Family Planning Services Billing, 5/04
- Family Planning Waiver August 2005 Special Bulletin Update, 12/05
- Family Planning Waiver Eligible Recipients, 9/06
- Family Planning Waiver Seminars:
- Family Planning Waiver Seminar and Teleconference:
- Family Planning Waiver Services, 2/06
- Family Planning Waiver, Special Bulletin, May 2006
- Family Planning Waiver Update, 9/10
- Fee Schedules and Reimbursement Plans: 3/01; 10/01; 6/02; 3/05
- Fee Schedules, Reimbursement Plans and Medicaid Bulletin Subscriptions, 5/00
- Five-Year Plan for Developmental Disability Services, 3/06
- Flu Testing:
- FluMist Influenza Vaccine (CPT Code 90660) – Billing Guidelines, 1/04
- Fluoroscopy, CPT Code 76000, 5/02
- Forms Available on Website, 4/00
- Forms:
- Gadolinium-Based Magnetic Resonance Contrast Agent, per ml - Billing Guidelines, 10/06
- General Medicaid Billing Seminars: 7/03; 8/03; 4/04; 5/04; 11/04
- General Medicaid Seminars Rescheduled, 12/04
- Genotyping and Phenotyping for HIV Drug Resistance Testing, 6/09
- Groups with Multiple Medicaid Provider Numbers, 8/08
- HCPCS Code A4570, 7/05
- HCPCS Procedure Code Changes for Diagnostic Radiopharmaceutical, Diagnostic, and Low Osmolar Contrast Agents End Dated with No Replacement Code, 2/08
- HCPCS Procedure Code Changes for the Physician's Drug Program: 1/07; 7/07; 1/08; 6/08; 3/09; 3/10
- HCPCS Procedure Code Changes for the Physician's Drug Program: New HCPCS Codes for Intra-articular Injectins of Hyaluronates in the Knee Joints, 2/07
- Health Check Billing Guide 2009, Special Bulletin II, April 2009
- Health Check Billing Guide 2010, Special Bulletin I, April 2010
- Health Check/EPSDT Seminars:
- Health Insurance Information Referral Form, 2/03
- Health Insurance Portability and Accountability Act (HIPAA)
- Health Insurance Premium Payment (HIPP) Program, 12/05
- Helpful Hints to Ensure a Provdier Enrollment Application is Processed Without Delay, 4/10
- Hepatitis A and Hepatitis B Vaccine, Adult Dosage, for Intramuscular Use (CPT Code 90636, 1 ml, Twinrix) Coverage Criteria, 3/04
- Hepatitis A Vaccine, Pediatric/Adolescent Dosage – 2 Dose Schedule (CPT 90633), 5/06
- HIV Diagnosis Code 042 Used with 87534 and 87536, 7/06
- HIV Resistance Testing, 11/01
- HIV Tropism Assay, 5/09
- HMO SouthCare Termination, 7/06
- Holiday Observance: 1/00; 3/00; 4/00; 5/00; 6/00; 7/00; 9/00; 11/00; 12/00
- Hospice Participation Information on Automated Voice Response System, 3/00
- HP Enterprise Services Address Change, 2/10
- HP Mailing Address Changes, 4/10
- Human Papilloma Virus Vaccine/Gardasil (CPT Procedure Code 90649):
- Human Papilloma Virus (HPV) Vaccine, Types 16, 18, Bivalent, 3-Dose Schedule for Intranuscular Use (Cervarix, CPT Codes 90650): Billing Guidelines, 8/10
- ICD-9-CM Code Changes for 2004, 1/04
- ICD-9-CM Diagnosis Codes that Are Not Subject to the Annual Visit Limitation, 9/08
- Immune Globulin (Octagam), Intravenous, HCPCS Procedure Code J1568: Renewed Coverage, 9/09
- Implementation Delayed for the PASARR Segment of the Medicaid Uniform Screening Tool, 10/08
- Implementation of a Recipient Management Lock-in Program, 8/10
- Implementation of N.C. Medicaid's Uniform Screening Program for PASARR Only, 9/08
- Implementation of PASARR Segment of the Medicaid Unifrom Screening Tool, 11/08
- Implementation of Utilization Management by Local Mangement Entities, 6/09
- Important Safety Information on Valproate, 7/10
- Incomplete Provider Enrollment Applications, 7/10
- Independent Practitioner Program Seminars: 5/08; 6/08; 9/08; 10/08; 11/08
- Influenza A (H1N1) 2009 Monovalent Vaccine and Reimbursement Guidelines for 2009/2010, 11/09
- Influenza - New Diagnosis Code for the Need for Vaccination Against Influenza, 3/04
- Influenza – New Diagnosis Code V04.81, 1/04
- Influenza Vaccine Coverage and Reimbursement Guidelines:
- Informed Decisions Beneficiary Centered Enrollment Service:
- Injectable Drugs in the Physician’s Drug Program – Code Conversion Update, 8/02
- Injectable Drugs, 8/02
- Inpatient Hospital Claims, 1/04
- Instructions on Inquiry Requests, 2/08
- Insulin Injection (Per 5 Units, HCPCS Code J1815) Billing Guidelines, 10/03
- Intracranial Neurostimulator Procedures (61850-61888) Covered ICD-9-CM Codes, 10/05
- Laboratory Billing Reminder, 3/09
- Laboratory Codes and Modifiers 76 and 77, 8/01
- Lead Awareness Month, 4/01
- Legislative Mandate for Uniform Screening Program Tool for PASARR Screenings, 9/09
- Legislative Visit Limitation, 03/08
- Letter and Report Summary to All Providers from Secretary H. David Bruton, 12/00
- Leuprolide Acetate Injectable (HCPCS Procedures Codes): Change in Billing Guidelines, 10/09
- List of Exceptions for Electronic Claim Submission, 10/09
- Local Management Entity Utilization Management Project, 3/09
- Low Osmolar Contrast Media - Billing Guidelines, 11/05
- Mail Service Center Addresses:
- Mailing Correspondence and Inquiries, 8/09
- Maintaining the Security and Accessibility of Records afater a Provider Agency Closes, 6/10
- Mammography Updates, 5/08
- Managed Care Seminars:
- Maternal Outreach Worker Program, 8/10
- Measles, Mumps, Rubella, and Varicella Vaccine MMRV, ProQuad, CPT Code 90710-Billing Guidelines, 11/06
- Mecklenburg County Managed Care Update, 2/03
- Medicaid Bulletins on DMA Website, 6/00
- Medicaid Contact Information, 12/03
- Medicaid Coverage for Pregnancy-Related Services, 7/03
- Medicaid Coverage Information for the Excluded Drug Classes under Medicare Part D, 12/05
- Medicaid Credit Balance Reporting: 9/00; 11/03; 5/04; 11/04; 11/07; 3/08; 9/08; 3/09; 6/09; 9/09; 12/09; 3/10; 6/10; 9/10
- Medicaid Crossover Claims Billed with Incorrect Medicaid Provider Numbers, 5/06
- Medicaid Crossover Claims, 11/06
- Medicaid Denial of Medicare Covered Services, 6/04
- Medicaid Denial of Medicare Part B Covered Services, 7/04
- Medicaid Fraud and Abuse - Confidential Online Complaint Form, 4/09
- Medicaid Identification Card Changes, 11/08
- Medicaid Identification Cards, 1/02
- Medicaid Integrity Contractors Audit: 5/10; 6/10; 7/10; 8/10; 9/10
- Medicaid Managed Care HMO Risk Contract Update, 7/00
- Medicaid Payment Accuracy Measurement Demonstration Project, 12/02
- Medicaid Provider Administrative Participation Agreement:
- Medicaid Provider Payment Suspension, 4/10
- Medicaid Provider Survey - Provider Input Requested:
- Medicaid Recipient/Applicant Due Process Appeals for Medical, Dental, and Behavioral Health Services, 4/09
- Medicaid Recipient Appeal Process/Early and Periodic Screening, Diagnosis, and Treatment, 12/09
- Medicaid Recipient Appeal
Process and Early and Periodic Screening, Diagnosis, and Treatment Seminars, 1/10
- Medicaid Recipient Appeals, 10/09
- Medicaid Reimbursement Rate Update, 9/10
- Medicaid Resolution Inquiry, 4/00
- Medical Care Decisions and Advance Directives, 8/09
- Medical Coverage Policies: 12/02; 2/03; 3/03; 10/03; 11/03; 12/03; 1/04; 2/04; 7/04
- Medical Genetic Counseling, 5/09
- Medically Necessary Oral Nutrition Products for Recipients Under the Age of 21, 2/09
- Medical Review of North Carolina (MRNC) Unveils New Name, 1/06
- Medicare and Medicaid Health
Information Technology: Title IV of the American Recovery and Reinvestment Act:
- Medicare - Medicaid Matching Project, 9/03
- Medicare Crossovers: 3/01; 1/02; 7/04; 8/04; 9/04
- Medicare Override and Medicare Payment on UB-92 Claims, 12/04
- Medicare Part B Billing, Special Bulletin V, August 2004
- Medicare Part B Billing Guidelines, Draft Special Bulletin VI, September 2009 (revised 11/14/02)
- Medicare Part B Crossover Payment Method Change, Special Bulletin I, March 2002
- Medicare Part B Reimbursement Percentages Update, 5/06
- Medicare Part B Seminar Schedule, 8/02
- Medicare Part D, 9/06
- Medicare Part D Drug Coverage Information, 5/09
- Medicare Part D Web Page, 11/05
- MedSolutions’ Commitment to Assuring a Collaborative, Successful Ultrasound Management Program in North Carolina, 5/10
- Meningococcal Conjugate Vaccine, MCV4, Billing Guidelines 8/05
- Meningococcal Conjugate Vaccine, MCV4, Coverage in the UCVDP/VFC Program and Billing Guidelines, 2/05
- Mental Health Non-Licensed Fee Schedule Effective September 1, 2005, 1/06
- Modifications to the Automated Voice Response System through the ITME Project, 10/00
- Modifier 25 and Minor Procedures, 8/00
- Modifier 51, 4/01
- Modifier 76 and 77 and Laboratory Codes, 8/02
- Modifier 79 and Multiple Session Procedure Codes, 9/00
- Modifier Additions for 2005, 1/05
- Modifier YT, 10/02
- National Drug Codes
- N.C. Medicaid's Uniform Screening Program Regional Training Sessions:
- N.C. Medicaid's Uniform Screening Program Regional Training Sessions for PASAAR Only, 7/08
- N.C. Mental Health, Developmental Disabilities, and Substance Abuse Services Health Plan Waiver (Formerly, Piedmont Cardinal Health Plan), 6/10
- NC Tracks Website Maintenance, 6/10
- NCECS Software Changes, 7/02
- NCECS WebTool Security Reminders, 10/07
- NCLeads Update:
- NCMMIS Update:
- New Address for Medical Review of N.C., 6/03
- New Annual Visit Limit Legislated by the N.C. General Assembly, 8/08
- New Billing Guidelines for Abortion Procedures, 9/03
- New Billing Guidelines for Sterilization Procedures, 9/03
- New Claim Form Instructions Special Bulletin, 1/07
- New Claim Forms Instructions Special Bulletin, 12/06
- New Contact Information for Rate Setting Staff, 4/09
- New Director Named for the Division of Medical Assistance, 9/01
- New Enhanced Specialty Discount on Single-source Specialty Drugs, 10/08
- New EOB, 9991 (Old CMS 1500), 8/07
- New Form for Medicaid Provider Refund Requests, 3/08
- New Health Plan Announcement, 1/05
- New Mailing Address for the Division of Medical Assistance, 10/03
- New Managed Care Consultant Regions, 10/04
- New Medicaid Eligibility Group: Health Coverage for Workers with Disabilities, 10/08
- New Medicaid ID Numbers Will be Assigned Due to Identity Theft Mandates, 4/07
- New Medicaid Identification Cards for Supplemental Security Income Recipients, 1/01
- New Medicaid Identification Cards, 5/01
- New Name for the Health Care Financing Administration, 9/01
- New Option for Submitting Recipient Commercial Insurance Information Updates, 4/10
- New Prior Authorization Program for Qualaquin, 10/08
- New Telephone Number for Claims Analysis Unit, 6/04
- Non-Covered Services, 10/06
- Non-emergency Transportation by Nursing Facilities and Adult Care Homes, 1/01
- Noninvasive Pulse Oximetry Reimbursement (CPT Codes 94760 and 94761), 12/01
- North Carolina Behavioral Pharmacy Management Project:
- North Carolina Definition of “New Patient”, 9/07
- North Carolina Electronic Claim Submission
and Electronic Initiatives Seminars, 1/10
- North Carolina Electronic Claims Submission/Recipient Eligibility Verification Web Tool:
- North Carolina Electronic Claims Submission/Recipient Elgibility Verification Web Tool: Medicare Indicators, 4/10
- North Carolina Electronic Claims Submisson/Recipient Eligibility Verification Web Tool, Special Bulletin III, September 2009
- North Carolina Electronic Claims Submission Software, 1/00
- North Carolina Health Choice Children Age 0-5 Moving to Medicaid:
- North Carolina Health Choice Children Age 0-5 Moving to Medicaid, Special Bulletin, December 2005
- North Carollina Medicaid Aid Program Classes for All North Carolina Aid Programs Added to the AVRS and EDI Vendor Responses, 4/07
- North Carolina Medicaid Preferred Drug List:
- North Carolina Medicaid's Use of CPT Consultation Codes, 2/10
- Notice of Case Status, 3/01
- Notice of Legislative Mandate for PASARR, 10/09
- Notice of Legislative Mandate for PASRR, 12/09
- Notice of Medicaid Identification Card Changes:
- Notice of Possible Legislative Mandate for Uniform Screening Program Tool for PASARR Screenings, 8/09
- Notice of Possible Medicaid Identification Card Changes, 7/09
- OB/GYN Medicaid Billing Seminars, 10/05
- Obesity Resource Information, 7/07
- Obstetric Anesthesia Code Limitation Change, 9/05
- Optical Character Recognition for Paper Claims, 7/10
- Optional Sixth Dose of Synagis for the 2003-04 RSV Season for Previously Approved Infants, 3/04
- Ordering Copies of Remittance and Status Reports, 9/08
- Outdated Enrollment Packets Will No Longer Be Accepted, 3/08
- Out-of-State Enrollment, 12/08
- Outpatient Pharmacy Program, Special Bulletin, June 2006
- Outpatient Pharmacy Program, Special Bulletin, May 2006 (revised 5/16/06)
- Outpatient Pharmacy Program - Focused Risk Management (FORM), Special Bulletin, July 2007
- Palatolasty or Modified Palatoplasty for Sleep Apnea, 7/07
- Pap Smear Billing Changes, 5/00
- Paper Claim Submissions:
- Password Changes for the North Carolina Electronic Claims Submission Web Tool, 4/10
- Payment Accuracy Measurement Project for 2004-05, 3/04
- Payment Error Rate Measurement in North Carolina: 12/06; 2/07; 11/07; 1/08; 3/08; 4/08; 5/08; 12/09; 5/10; 6/10; 7/10; 8/10; 9/10
- Payment of Annual Physical Exam Visits for Recipients with Family Planning Waiver Coverage, 12/08
- PCG Medicare Recoupment Mailouts, 11/00
- PDF Format Remittance and Status Reports Changes, 6/10
- PDF Format Remittance and Status Reports Changes Implemented, 7/10
- Pediarix - Coverage in the UCVDP/VFC Program and Billing Guidelines, 6/05
- Penalties and Interest Assessments, 12/00
- Performance Bonds, 1/03
- Physical, Occupational and Speech Therapy, and Developmental Evaluation Center Services, 10/00
- Physician Drug Program Pricing List Update, 10/06
- Physician Reimbursement Rate Change, 3/01
- Physician's Drug Program Changes, 3/04
- Piedmont Cardinal Health Plan, 12/09
- Piedmont Cardinal Health Plan, Special
Bulletin, March 2005
- Place of Service Codes, 12/05
- Place of Service for CPT Code 58150, 10/07
- Platelet-derived Wound Healing Formula, Procuren, 4/01
- Pneumococcal Conjugate Vaccine, 13 Valent, (PCV13) for Intramuscular Use (Prevnar, 13, CPT Code 90670): Coverage Guidelines, 5/10
- Pneumococcal Polysaccharide Vaccine (PPV23, CPT 90732):
- Policy Changes for Coverage of Breast Surgeries, 8/10
- Positron Emission Tomography Scans - Billing Guidelines, 4/04
- Preferred Drug List, 7/02
- Prescription Drug Charges Beginning Jan, 1, 2007, 12/06
- Prescription Limitations, 4/06
- Preventive Medicine Annual Health Assessments, 5/02
- Preventive Medicine Services, 6/00
- Prior Approval Process and Request for Non-Covered
Services, Special Bulletin, January 2006
- Prior Approval Process for Outpatient Therapy Services, 5/02
- Prior Approval Process Modified, 5/01
- Prior Authorization Criteria for Botulinum Toxin Types A and B, 10/08
- Prior Authorization for Non-emergency Outpatient High-tech Radiology and Ultrasound Procedures:
- Prior Authorization for Prescription Drugs, Special Bulletin II, April 2002
- Progesterone, per 50 mg (HCPCS Code J2675) - Coverage Reinstated, 5/03
- Program Integrity Prepayment Claims Review, 2/10
- Program of All-inclusive Care for the Elderly Recipient Eligibility, 3/08
- Proposed Medical Coverage Policies: 6/02; 7/02; 8/02; 9/02; 10/02; 11/02; 12/02; 1/03; 2/03; 3/03; 4/03; 5/03; 6/03; 7/03; 8/03; 9/03; 10/03; 11/03; 12/03
- Prosecution for Fraudulent Activity, 9/10
- Provider Enrollment and Re-credentialing Fee, 9/09
- Provider Enrollment Changes, 2/07
- Provider Enrollment Guidelines, Special Bulletin I, January 2001
- Provider Enrollment Packet Updates, 2/09
- Provider Exclusions, Fraud, and Abuse, 4/09
- Provider Information Regarding Changes in N.C. Health Choice Administration:
- Provider Information Regarding Changes in N.C. Health Choice Copayments:
- Provider Information Regarding Changes in N.C. Health Choice Dental Benefits, 7/09
- Provider Information Update: 9/02; 10/02; 11/02; 12/02; 3/03; 6/03
- Provider Participation Exclusions, 12/04
- Provider Representative Consultations, 9/02
- Provider Responsibilities for Claim Submissions, 8/07
- Provider Services and Enrollment Change of Address, 6/05
- Provider Visit Request, 4/01
- Providers Filing Paper Adjustments, 4/07
- Provision of Orthotic and Prosthetic Devices, 5/05
- Public Notice, 7/09
- Publication Request Form, 7/01
- Quarterly Update to the 2006 Physican Fee Schedule Database, 10/06
- Radiation Treatment Delivery and Management Codes Billing Guidelines, 4/05
- Radioactive Imaging Agent, Myoview, 9/02
- Rate Change for Mirena IUD, J7302, 1/06
- Rates for 2006 CPT Codes, 1/06
- Reaching Compliance with HIPAA Privacy Regulations:
- Recipient Eligibility Benefit Inquiry and Response, 8/09
- Recipient Notifications, 9/10
- Reductions to Covered Podiatry Services, 8/10
- Referrals and Service Coordination for the Community Alternatives Program for Disabled Adults:
- Referrals to Adult Care Homes, 7/05
- Refiling Denied 2003 New CPT Codes, 2/04
- Regional Managed Care Consultant List, 2/03
- Registration for Health Check/EPSDT Seminars, 4/09
- Registration for the PASARR Segment of the Medicaid Uniform Screening Tool, 1/09
- Reimbursement for the Duplication of Medical Records, 5/10
- Reimbursement of Inpatient Services Provided to Carolina ACCESS Enrollees, 9/00
- Reimbursement Rate and HCPCS Code Changes for the Physician's Drug Program, 2/05
- Reimbursement Rate for Targeted Case Management, 3/09
- Reimbursement Rate Update, 10/09
- Reinstating Providers Suspended for Outstanding Repayments, 12/05
- Reminder about Sterilization Procedures, 7/08
- Remittance and Status Report Changes for Medicare Primary Claims, 10/04
- Remittance and Status Report Changes:
- Remittance and Status Reports in PDF Format, 5/10
- Removal of Sutures under Anesthesia by Same Surgeon (CPT Code 15850), 9/01
- Renovation of the MMIS System – ITME Project: 4/00; 6/00; 9/00; 10/00; 11/00; 12/00; 1/01; 2/01
- Reporting Changes in Provider Status to Medicaid, 10/01
- Reporting Electronic Commerce Services (ECS) Changes, 10/00
- Reporting Fraud, Waste, and Program Abuse:
- Reporting Provider Changes, 7/08
- Required Fields on New Provider Enrollment Applications and Provider Change Form:
- Resolution of the Shorage of Haemophilus Influenzae Type B (Hib) Vaccine and Clarifications Regarding Hib Vaccines, 8/10
- Response Time for Provider Inquiries, 10/01
- Resubmission of a Previously Denied Claim:
- Resubmission vs. Filing Adjustment, 5/00
- Resubmitting Claims for Ophthalmology Procedure Codes with Modifier 26 and TC, 3/06
- Retroactive Eligibility for Family Planning Waiver, 11/09
- Revised Fees 2005, 1/05
- Revised Health Insurance Information Referral Form, 2/03
- Revised List of Diagnosis Codes That are Not Subject to the Annual Visit Limitation, 10/08
- Revised Medicaid Claim Adjustment Request Form:
- Revised Procedures for Prescribing Synagis to Include EPSDT Information, 1/08
- Revised Rates for 2004 CPT Codes, 4/04
- Revision to Essure and Hysterosalpingogram Implementation, 8/08
- Revision to the NPI and New Claim Forms Implementation Changes Published in the May 2007 Medicaid General Bulletin , 6/07
- Risperdone, Long Acting, 0.5 mg (Risperdal Consta, HCPCS Code J2794: Additional Coverage Guidelines, 4/10
- Rotavirus Vaccine, Human, Attenuated, 2-dose Schedule, Live, for Oral Use (Rotarix, CPT Procedure 90681) Billing Guidelines, 1/09
- Rotavirus Vaccine, Pentavalent, Three-Dose Schedule, Live for Oral Use (RotaTeq), CPT 90680, 12/06
- Routine Newborn Circumcision Coverage Policy Clarification, 3/03
- Routine Newborn Circumcision Coverage Policy:
- Seasonal Influenza Vaccine and Reimbursement Guidelines for 2009/2010, 10/09
- Seminar Schedule for the Expansion of Provider Types for Outpatient Behavioral Health Services, 11/04
- Seniors Health Insurance Information Program (SHIIP) "Train the Trainer" Sessions for Medicare Part D Prescription Drug Benefit, 11/05
- Services that Cannot be Billed to the N.C. Medicaid Program, 11/08
- Services that Cannot be Reimbursed by the N.C. Medicaid Program, 8/09
- Severe Acute Respiratory Syndrome Assessment, 5/03
- Sincalide (Kinevac) Coverage, 4/05
- Sincalide, 5 micrograms (HCPCS Code J2805) Billing Guidelines, 9/06
- Sleep Study and Polysomnography Denials:
- Sodium Hyaluronate for Intra-Articular Injection - Billing Guidelines:
- State-Created Diagnosis Codes, 9/03
- State Fiscal Year 2007-2008 Rate Updates, 11/07
- State Medicaid Health Information Technology Plan, 7/10
- Status Update for the PASARR Segment of the Medicaid Uniform Screening Tool, 3/09
- Stereotactic Pallidotomy, 2/01
- Sterilization:
- Submitting Secondary and Tertiary Claims Electronically/837 Transaction, 12/09
- Submitting ZIP+4 on Claims, 7/09
- Supplemental Security Income Medicaid Recipients with Incorrect Medicare Indicators, 11/03
- Surgery Prior Approval, 9/02
- Suspension of New Enrollment for At-Risk Case Management Providers, 11/09
- Suspension of Enrollment for Community Support Services, 7/08
- Suspension of Medicaid Benefits for Incarcerated Recipients and Recipients in Institutions for Mental Diseases: 10/08; 11/08
- Synagis:
- Tamper Resistant Prescription Pads, Special Bulletin I, January 2008
- Tamper-Resistant Prescription Pads for Medicaid Outpatient Prescriptions, 1/08
- Tax Identification Information: 10/00; 11/00; 12/00; 12/01; 12/02; 12/03; 12/04; 10/05; 12/05; 07/06; 11/06; 10/07; 03/08
- Termination of Community Alternatives Program for Persons with AIDS, 12/06
- Termination of Inactive Medicaid Provider Numbers:
- Tetanus, Diphtheria Toxoids and Acellular Pertussis Vaccine (Tdap), for Intramuscular Use, (CPT 90715):
- Tetanus and Diphtheria Toxoids (Td, CPT Code 90718 - Ending Coverage, 8/06
- The Controlled Substances Reporting System: The State's Newest Tool to Make Prescribing Opioids and Other Controlled Substances Safer and Easier, 7/09
- The New NCMMIS Committment to North Carolina Providers, 9/04
- Third Party Billing, 1/00
- Third Party Health Insurance and Medicaid Eligibility Policy Clarification, 2/03
- Time Limit Overrides, 7/09
- Top 10 EOBs:
- Top 10 Reasons a Provider Application is Deemed Incomplete, 12/09
- Top EOB Codes for Claims Denials, 7/10
- Town Hall Meetings: Community Alternatives Program for Disabled Adults, 5/08
- Transcranial Doppler Studies (CPT Codes 93886 – 93893) Covered ICD-9-CM Diagnosis Codes, 9/05
- Transplants: Submitting Claims for Reimbursement, 6/03
- UD Modifier and 340B Purchased Drugs, 7/10
- Undeliverable Mail, 4/09
- Unidentifiable Provider Numbers, 3/03
- Unlisted CPT Codes, 5/02
- Unlisted Procedure Code Claims and EOB 1224 Revision, 8/03
- Upcoming Change to EOB Crosswalk to HIPAA Standard Codes, 6/10
- Upcoming Medicaid Integrity Program – CMS Provider Audits, 2/09
- Update on HIPAA Implementation Training Seminars, 3/03
- Update on Year 2000 Activities, 1/00
- Update to Regional Managed Care Consultant List, 2/03
- Update to the Annual Medicaid Identification Card, 8/10
- Update to the Implementation of the Web-based Medicaid Uniform Screening Tool, 3/08
- Update: FluMist Availability in the UCVDP/VFC Program. 1/08
- Update: Meningococcal Conjugate Vaccine (Menactra, MCV4, CPT 90734), 2/08
- Update: PedvaxHIB Recall - Reimbursement for PedvaxHIB and ActHIB Allowed for UCVDP/VFC Program Eligibles, 3/08
- Updated Effective Dates for Revised Billing Forms, 12/06
- Updated Effective Dates for Revised CMS-1500, UB-04 and ADA 2006 Forms, 3/07
- Updated EOB Code Crosswalk to HIPAA Standard Codes: 3/04; 8/04; 1/05; 6/05; 10/05; 1/06; 5/06; 8/06; 9/07; 1/08; 5/08; 9/08; 10/08; 1/09; 5/09; 7/09; 10/09; 1/10; 4/10
- Updated Provider Type/Provider Specialty for Family Planning Waiver Services, 9/06
- Updates to HIPAA 835 Transactions for Medicare, 8/06
- Urine Drug Screening, 9/10
- Urine Drug Testing, 11/09
- Use of Medicaid Provider Number After National Provider Identifier Implementation, 4/09
- Venipuncture and Specimen Collection, 10/00
- Web-based Provider Enrollment Applications Available Online Beginning August 31, 2009, 8/09
- West Nile Virus (and Other Arboviral Infections), 6/04
- Where to Obtain Copies of the Federal Register, 10/00
- Where to Obtain Forms, 2/01
- Who’s Who in North Carolina
Medicaid, 1/10
- Zoledronic Acid (Zometa), 4 mg (J3490) – Billing Guidelines, 9/02
- Zoledronic Acid, 1 mg (Zometa, J3487) – Billing Guidelines Update, 1/03
