Bulletins and Newsletters

Review these bulletins to stay up to date on news, policy changes and other issues important to your practice.

Visit the News and Network Bulletin page to view updates and articles.

View Current Medical and Drug Policies page to see:

  • New Policies
  • Policy Changes

View Current Reimbursement Policies page to see:

  • New Policies
  • Policy Changes

07.06.2021: CDSA – all providers including occupational therapy, speech therapy & physical therapy providers.

Due to the passage of SL 2021-62, effective July 1, 2021, the following services are carved out of NC Medicaid Managed Care and should continue to be billed through NCTracks:

  • Services documented in an individualized family service plan (IFSP) that are provided and billed by a Children’s Developmental Services Agency (CDSA)
  • Services documented in an IFSP that are provided and billed by a provider contracted with a CDSA to provide those services.

CDSAs and independent practitioner providers providing IFSP services for the CDSA should hold their claims from July 1, 2021, through July 12, 2021, for dates of service starting on July 1, 2021.

Starting on July 13, 2021, CDSAs and independent practitioner providers providing IFSP services for the CDSA may submit their claims to NCTracks for all IFSP services for dates of service starting on July 1, 2021. These claims must be submitted to NCTracks with a TL modifier. 

07.06.2021: Vaccine – to all PCP’s & Behavioral health

North Carolina DHHS has released vaccine counseling code 99401 as a covered code.  UnitedHealthcare is in process of adding 99401 as a covered code which will become effective in our system on July 11, 2021. In the interim, claims will pend to ensure claims are processed correctly after system configuration.