North Carolina
highNC FEE Schedules
Run Date and Time
Mar 03, 2026
2m 59s
Run Metrics
Fee Schedule Impacts
Run summary
Run: 0ffef3b6-25eb-4088-b847-389c1d02c106 Status: ok Started: 2026-03-03T02:48:17.640362+00:00 Finished: 2026-03-03T02:51:17.007607+00:00 Source: North Carolina Medicaid Hub: NC_FEE_SCHEDULES IMPORTANT HISTORICAL DISCOVERIES NEW_DOC (Historical) - 71 - Effective 2022-10-01 - The document outlines revised Medicaid reimbursement rates for skilled nursing facilities in North Carolina, effective from October 1, 2022, to December 31, 2022. It includes specific rate adjustments for COVID-19 impacts and ensures that rates do not fall below those set on July 1, 2022. (LLM: high) URL: https://medicaid.ncdhhs.gov/expanded-nursing-facility-fee-schedule-covid-standard-add-rate-oct-6-2022-excel/open - Effective 2022-10-01 - The document outlines updated Medicaid rates effective October 1, 2022, for various healthcare facilities, including specific rate components and COVID-19 adjustments. (LLM: high) URL: https://medicaid.ncdhhs.gov/expanded-nursing-facility-fee-schedule-covid-standard-add-rate-oct-1-2022-pdf/open - Effective 2022-10-01 - The document outlines Medicaid reimbursement rates for skilled nursing facilities in North Carolina, effective from October 1, 2022, to December 31, 2022. It includes specific rate adjustments for COVID-19 and notes that if October rates are lower than July rates, the July rates remain effective. (LLM: medium) URL: https://medicaid.ncdhhs.gov/expanded-nursing-facility-fee-schedule-covid-standard-add-rate-oct-1-2022-excel/open - Effective 2022-10-01 - The document provides the Medicaid reimbursement rates for hospice services effective from October 1, 2022, to September 30, 2023. It includes specific rates for various types of hospice care across different regions in North Carolina. URL: https://medicaid.ncdhhs.gov/hospice-fee-schedule-tier-2-oct-1-2022-excel/open - Effective 2022-10-01 - The document provides updated Medicaid rates effective October 1, 2022, for various healthcare facilities, including specific rate increases and COVID-19 related adjustments. (LLM: high) URL: https://medicaid.ncdhhs.gov/expanded-nursing-facility-fee-schedule-covid-standard-add-rate-oct-6-2022-pdf/open - Effective 2022-10-01 - The document outlines new Medicaid reimbursement rates for hospice services effective October 1, 2022, through September 30, 2023, across various regions in North Carolina and South Carolina. URL: https://medicaid.ncdhhs.gov/hospice-fee-schedule-tier-2-oct-1-2022-pdf/open - Effective 2022-09-30 - The document is a fee schedule for nurse midwives in North Carolina, effective from September 30, 2022. It includes various procedure codes with facility and non-facility rates, but no new changes or updates are indicated beyond the effective date. URL: https://medicaid.ncdhhs.gov/nurse-midwives-fee-schedule-sept-30-2022-excel/open - Effective 2022-09-19 - The document provides a fee schedule for home infusion therapy under NC Medicaid, effective September 19, 2022. It includes specific rates for enteral feeding supply kits and formulas. URL: https://medicaid.ncdhhs.gov/home-infusion-therapy-fee-schedule-sept-19-2022-excel/open - Effective 2022-09-12 - The document is a fee schedule for optometry services under NC Medicaid, effective September 12, 2022. It includes various procedure codes with associated rates, but the effective dates for these rates are January 1, 2022. URL: https://medicaid.ncdhhs.gov/optometry-services-fee-schedule-sept-12-2022-excel/open - Effective 2022-09-07 - The document outlines a fee schedule for hearing aid services effective September 7, 2022, with specific rates for various services such as repair, modification, and dispensing fees for hearing aids. (LLM: medium) URL: https://medicaid.ncdhhs.gov/hearing-aid-program-fee-schedule-sep-7-2022-pdf/open - Effective 2022-09-07 - The document outlines a hearing aid fee schedule effective September 7, 2022, with specific rates for various hearing aid services. It includes details on billing for monaural and binaural hearing aids, as well as dispensing fees. (LLM: medium) URL: https://medicaid.ncdhhs.gov/hearing-aid-program-fee-schedule-sep-7-2022-excel/open - Effective 2022-09-06 - The document provides a fee schedule for podiatry services effective September 6, 2022, with specific rates for various procedures. However, the effective dates for the listed procedures are January 1, 2022, indicating the rates may not be new. (LLM: medium) URL: https://medicaid.ncdhhs.gov/podiatry-services-fee-schedule-sept-6-2022-excel/open - Effective 2022-08-22 - The document is a durable medical equipment fee schedule for NC Medicaid, effective August 22, 2022, listing various items with associated rates. (LLM: medium) URL: https://medicaid.ncdhhs.gov/durable-medical-equipment-dme-fee-schedule-aug-22-2022-excel/open - Effective 2022-08-22 - The document includes updates to Medicaid maximum rates for various medical items, with effective dates primarily in 2021 and 2022. Notable changes include rates for alcohol wipes, urinary catheter devices, and power wheelchairs. (LLM: medium) URL: https://medicaid.ncdhhs.gov/durable-medical-equipment-dme-fee-schedule-aug-22-2022-pdf/open - Effective 2022-08-16 - The document includes updated Medicaid rates for various medical supplies and equipment, with effective dates ranging from April 1, 2021, to January 1, 2022. It also mentions a durable medical equipment fee schedule effective August 16, 2022. (LLM: medium) URL: https://medicaid.ncdhhs.gov/durable-medical-equipment-dme-fee-schedule-aug-16-2022-pdf/open - Effective 2022-08-16 - The document is a durable medical equipment fee schedule for NC Medicaid, effective August 16, 2022. It includes HCPCS codes and rates for various items, but the rates listed are from 2021. (LLM: medium) URL: https://medicaid.ncdhhs.gov/durable-medical-equipment-dme-fee-schedule-aug-16-2022-excel/open - Effective 2022-08-10 - The document provides a fee schedule for podiatry services effective August 10, 2022, with specific rates for various procedures. However, the effective dates for the listed procedures are January 1, 2022. (LLM: medium) URL: https://medicaid.ncdhhs.gov/podiatry-services-fee-schedule-aug-10-2022-excel/open - Effective 2022-08-02 - The document includes updated Medicaid rates for various immunization and neuroendoscopy procedures, effective from 08/02/2022. Rates for COVID-19 vaccine administration and neuroendoscopy procedures are specified. (LLM: medium) URL: https://medicaid.ncdhhs.gov/federally-qualified-health-centers-fqhc-fee-schedules-aug-3-2022-pdf/open - Effective 2022-07-01 - The document outlines Medicaid DRG base rates for North Carolina hospitals, effective from July 1, 2022, to June 30, 2023. It includes specific rates for various hospital units and notes that these rates exclude temporary COVID-19 increases. URL: https://medicaid.ncdhhs.gov/nc-hospitals-fee-schedules-sept-30-2022-excel/open - Effective 2022-07-01 - The document outlines updated Medicaid rates for specific facilities, effective July 1, 2022, with uniform COVID-enhanced rates applicable until December 31, 2022. (LLM: medium) URL: https://medicaid.ncdhhs.gov/expanded-vent-fee-schedule-7122-0/open - Effective 2022-07-01 - The document provides updated Medicaid rates for North Carolina hospitals, effective from July 1, 2022, to June 30, 2023. It includes specific DRG base rates for various hospitals and units, with no temporary COVID-19 increases included. URL: https://medicaid.ncdhhs.gov/nc-hospitals-fee-schedules-sept-30-2022-pdf/open - Effective 2022-07-01 - The document outlines updated fee schedule rates for vent bed facilities, effective from July 1, 2022, to December 31, 2022, with COVID-19 enhanced rates included. URL: https://medicaid.ncdhhs.gov/expanded-vent-fee-schedule-7122/open - Effective 2022-06-06 - The document includes updates to Medicaid rates for various medical supplies and equipment, with effective dates primarily in 2021 and 2022. Notable changes include specific pricing for items like alcohol wipes, urinary catheter devices, and power wheelchairs. (LLM: medium) URL: https://medicaid.ncdhhs.gov/durable-medical-equipment-dme-fee-schedule-june-6-2022-pdf/open - Effective 2022-06-06 - The document is a durable medical equipment fee schedule for NC Medicaid, effective June 6, 2022. It includes HCPCS codes and rates for various items, but the rates listed are from 2021. (LLM: medium) URL: https://medicaid.ncdhhs.gov/durable-medical-equipment-dme-fee-schedule-june-6-2022-excel/open - Effective 2022-04-01 - The document provides a Medicaid fee schedule effective from April 1, 2022, with rates for various medical services, including cast applications and psychotherapy. The rates are set to remain in effect indefinitely. URL: https://medicaid.ncdhhs.gov/lea-fee-schedule-sept-8-2022-excel/open - Effective 2022-04-01 - The document provides updated Medicaid rates for various medical services, including cast applications and hearing aid exams, effective from April 1, 2022, with no specified end date. These rates are applicable until December 31, 9999, indicating they are current and ongoing. (LLM: medium) URL: https://medicaid.ncdhhs.gov/lea-fee-schedule-sept-8-2022-pdf/open - Effective 2022-01-03 - The document provides updates to the Medicaid fee schedule, specifically for COVID-19 vaccine administration codes, with rates effective from January 3, 2022. It includes details for various doses and booster shots, with consistent rates for facility and non-facility settings. URL: https://medicaid.ncdhhs.gov/rural-health-clinical-fee-schedule-aug-3-2022-excel/open - Effective 2022-01-03 - The document provides updates to the Medicaid fee schedule for COVID-19 vaccine administration codes, effective from January 3, 2022, with no end date specified. Rates for both facility and non-facility settings are listed as $65. URL: https://medicaid.ncdhhs.gov/rural-health-clinic-fee-schedule-june-23-2022-excel/open - Effective 2022-01-03 - The document outlines the 2022 fee schedule for local health departments, including rates for coronavirus vaccine administration codes effective from January 3, 2022. The schedule includes specific CPT codes with associated fees. URL: https://medicaid.ncdhhs.gov/local-health-department-fee-schedule-july-26-2022-excel/open - Effective 2022-01-03 - The document includes updates to the fee schedule for federally qualified health centers, specifically for COVID-19 vaccine administration codes. Rates for these services are set at $65 for both facility and non-facility settings, effective from January 3, 2022, with no end date specified. URL: https://medicaid.ncdhhs.gov/federally-qualified-health-centers-fqhc-fee-schedules-june-23-2022-excel/open - Effective 2022-01-03 - The document includes updates to the fee schedule for COVID-19 vaccine administration codes, effective from January 3, 2022, with no end date specified. URL: https://medicaid.ncdhhs.gov/federally-qualified-health-centers-fqhc-fee-schedules-aug-3-2022-excel/open - Effective 2022-01-03 - The document provides updates to the Medicaid fee schedule, specifically for COVID-19 vaccine administration codes, with effective dates starting January 3, 2022. Rates for these services are listed as $65 for both facility and non-facility settings. URL: https://medicaid.ncdhhs.gov/rural-health-clinical-fee-schedule-aug-10-2022-excel/open - Effective 2022-01-01 - The document outlines the NC Medicaid Nurse Practitioner Fee Schedule, with rates set as of January 1, 2014, and updates based on RVUs from January 1st of the service year. It includes specific rates for procedures effective from January 1, 2022. (LLM: medium) URL: https://medicaid.ncdhhs.gov/nurse-practitioner-fee-schedule-aug-16-2022-excel/open - Effective 2022-01-01 - The document provides a fee schedule for nurse midwives, with rates set as of January 1, 2014, unless otherwise noted. It includes specific rates for various procedures effective from January 1, 2022, with no end date specified. (LLM: medium) URL: https://medicaid.ncdhhs.gov/nurse-midwives-fee-schedule-aug-18-2022-excel/open - Effective 2022-01-01 - The document provides Medicaid reimbursement rates for various medical procedures, effective January 1, 2022. It includes specific rates for procedures like fine needle aspiration and drainage of abscesses. URL: https://medicaid.ncdhhs.gov/podiatry-services-fee-schedule-aug-10-2022-pdf/open - Effective 2022-01-01 - The document outlines the NC Medicaid Physician Assistant Fee Schedule, with rates set as of January 1, 2014, and changes based on RVUs from January 1st of the service year. It includes specific rates for debridement services effective from January 1, 2022. (LLM: medium) URL: https://medicaid.ncdhhs.gov/physician-assistant-fee-schedule-aug-4-2022-excel/open - Effective 2022-01-01 - The document provides a fee schedule for podiatry services effective January 1, 2022, with specific rates for various procedures. It includes details on facility and non-facility rates for services like fine needle aspiration and debridement. URL: https://medicaid.ncdhhs.gov/podiatry-services-fee-schedule-jan-1-2022-updated-aug-3-2022-excel/open - Effective 2022-01-01 - The document provides updated Medicaid fee schedules with specific rates for various procedures, effective from January 1, 2022, with no end date specified. Rates are listed for both facility and non-facility settings. URL: https://medicaid.ncdhhs.gov/physician-services-fee-schedule-aug-4-2022-pdf/open - Effective 2022-01-01 - The document provides updated Medicaid rates for various procedure codes, effective from January 1, 2022, with no specified end date. Rates are listed for both facility and non-facility settings. URL: https://medicaid.ncdhhs.gov/physician-services-fee-schedule-oct-11-2022-pdf/open - Effective 2022-01-01 - The document is a 2022 fee schedule for local health departments in North Carolina, detailing rates for coronavirus vaccine administration codes effective from January 1, 2022. It includes specific CPT codes and their associated fees. URL: https://medicaid.ncdhhs.gov/local-health-department-fee-schedule-june-23-2022-excel/open - Effective 2022-01-01 - The document is a fee schedule from the North Carolina Department of Health and Human Services, effective January 1, 2022, with updates as of September 20, 2022. It includes rates for COVID-19 vaccine administration codes, all set at $65. URL: https://medicaid.ncdhhs.gov/local-health-department-fee-schedule-sept-20-2022-excel/open - Effective 2022-01-01 - The document provides updated Medicaid fee schedules for various procedure codes, effective from January 1, 2022, with no end date specified. Rates for COVID-19 vaccine administration and nerve injection procedures are included. URL: https://medicaid.ncdhhs.gov/physician-services-fee-schedule-sept-8-2022-pdf/open - Effective 2022-01-01 - The document provides updated Medicaid rates for various procedure codes, effective from January 1, 2022, with no specified end date. Rates are listed for both facility and non-facility settings. URL: https://medicaid.ncdhhs.gov/nurse-midwives-fee-schedule-october-19-2022-pdf/open - Effective 2022-01-01 - The document provides updated Medicaid fee schedules with specific rates for various procedures, effective from January 1, 2022, with no end date specified. Rates are listed for both facility and non-facility settings. URL: https://medicaid.ncdhhs.gov/physician-assistant-fee-schedule-aug-4-2022-pdf/open - Effective 2022-01-01 - The document provides updated Medicaid fee schedules for various procedures, effective from January 1, 2022, with no end date specified. Rates for procedures such as neuraxial labor analgesia and hypospadias repair are included. URL: https://medicaid.ncdhhs.gov/nurse-practitioner-fee-schedule-aug-10-2022-pdf/open - Effective 2022-01-01 - The document outlines the NC Medicaid Physician Assistant Fee Schedule, with rates set as of January 1, 2014, and updates based on RVUs from January 1 of the service year. It includes specific rates for procedures like debridement, effective from January 1, 2022. (LLM: medium) URL: https://medicaid.ncdhhs.gov/physician-assistant-fee-schedule-aug-10-2022-excel/open - Effective 2022-01-01 - The document provides updated Medicaid fee schedules with specific rates for various procedures, effective from January 1, 2022, with no end date specified. Rates are listed for both facility and non-facility settings. URL: https://medicaid.ncdhhs.gov/nurse-practitioner-fee-schedule-aug-4-2022-pdf/open - Effective 2022-01-01 - The document is a fee schedule for the Physician Administered Drug Program effective January 1, 2022, with updates noted as of June 16, 2022. It includes specific rates for various drugs but does not guarantee coverage. URL: https://medicaid.ncdhhs.gov/physician-administered-drug-program-fee-schedule-jun-16-2022/open - Effective 2022-01-01 - The document provides a fee schedule for radiological and imaging services effective from January 1, 2022, with no end date specified. It includes specific rates for various x-ray procedures under provider specialty 097. URL: https://medicaid.ncdhhs.gov/radiologicalimaging-fee-schedule-oct-4-2022-excel/open - Effective 2022-01-01 - The document provides updated Medicaid rates for various procedure codes, effective from January 1, 2022, with no specified end date. Rates are listed for both facility and non-facility settings. URL: https://medicaid.ncdhhs.gov/nurse-midwives-fee-schedule-sept-30-2022-pdf/open - Effective 2022-01-01 - The document provides a fee schedule for radiological and imaging services, effective from January 1, 2022, with no end date specified. It includes specific rates for various x-ray examinations under provider specialty 097. URL: https://medicaid.ncdhhs.gov/radiologicalimaging-fee-schedule-oct-4-2022-pdf/open - Effective 2022-01-01 - The document provides updated Medicaid fee schedules with specific rates for various procedures, effective from January 1, 2022, with no end date specified. Rates are listed for both facility and non-facility settings. URL: https://medicaid.ncdhhs.gov/physician-services-fee-schedule-aug-10-2022-pdf/open - Effective 2022-01-01 - The document outlines the NC Medicaid nurse practitioner fee schedule, with rates set as of January 1, 2014, and updates based on RVUs from January 1st of the service year. It includes specific rates for procedures effective from January 1, 2022. (LLM: medium) URL: https://medicaid.ncdhhs.gov/nurse-practitioner-fee-schedule-aug-10-2022-excel/open - Effective 2022-01-01 - The document provides Medicaid reimbursement rates for various medical procedures, effective January 1, 2022. It includes rates for procedures like fine needle aspiration and drainage of abscesses. URL: https://medicaid.ncdhhs.gov/podiatry-services-fee-schedule-sept-6-2022-pdf/open - Effective 2022-01-01 - The document provides updated Medicaid fee schedules with specific rates for various procedures, effective from January 1, 2022, with no end date specified. URL: https://medicaid.ncdhhs.gov/nurse-practitioner-fee-schedule-aug-16-6022-pdf/open - Effective 2022-01-01 - The document provides Medicaid reimbursement rates for various medical procedures, all effective from January 1, 2022. Rates are specified for both facility and non-facility settings. URL: https://medicaid.ncdhhs.gov/optometry-services-fee-schedule-sept-12-2022-pdf/open - Effective 2022-01-01 - The document provides updated Medicaid fee schedules with specific rates for various procedures, effective from January 1, 2022, with no end date specified. Rates are listed for both facility and non-facility settings. URL: https://medicaid.ncdhhs.gov/physician-assistant-fee-schedule-aug-10-2022-pdf/open - Effective 2022-01-01 - The document provides Medicaid reimbursement rates for various medical procedures, effective January 1, 2022. It includes specific rates for procedures like fine needle aspiration and drainage of abscesses. URL: https://medicaid.ncdhhs.gov/podiatry-services-fee-schedule-jan-1-2022-updated-aug-3-2022-pdf/open - Effective 2021-07-01 - The document outlines a Medicaid managed care hospital outpatient laboratory fee schedule update, effective from July 1, 2021. Rates are set at 146.38% of the fee-for-service lab fee schedule and are pending CMS approval. URL: https://medicaid.ncdhhs.gov/php-managed-care-hospital-outpatient-laboratory-fee-schedule-sept-16-2022-excel/open - Effective 2021-07-01 - The document provides updated rates for various medical procedures, effective from July 1, 2021, with no end date specified, indicating ongoing applicability. It includes rates for psychiatric and rehabilitation units, as well as specific procedure codes like SARS-CoV-2 tests and metabolic panels. URL: https://medicaid.ncdhhs.gov/php-managed-care-hospital-outpatient-laboratory-fee-schedule-sept-16-2022-pdf/open - Effective 2021-07-01 - The document provides updated Medicaid rates for various procedures, effective from July 1, 2021, with no end date specified. Rates for procedures like COVID-19 antibody tests and metabolic panels are included. URL: https://medicaid.ncdhhs.gov/php-managed-care-hospital-outpatient-laboratory-fee-schedule-sept-19-2022-pdf/open - Effective 2021-07-01 - The document provides North Carolina Medicaid rates for hospitals, effective from July 1, 2021, to June 30, 2022. It includes specific DRG base rates for various hospitals and notes an upcoming change to DRG Grouper V40 effective October 1, 2022. URL: https://medicaid.ncdhhs.gov/nc-hospitals-fee-schedule-june-13-2022-pdf/open - Effective 2021-07-01 - The document outlines a draft update to the PHP managed care hospital outpatient laboratory fee schedule, effective from July 1, 2021. Rates are set at 146.38% of the FFS lab fee schedule and are pending CMS approval. URL: https://medicaid.ncdhhs.gov/php-managed-care-hospital-outpatient-laboratory-fee-schedule-sept-19-2022-excel/open - Effective 2021-07-01 - The document outlines North Carolina Medicaid hospital rates effective from July 1, 2021, to June 30, 2022, with updates to DRG base rates and a note on the upcoming grouper version change effective October 1, 2022. URL: https://medicaid.ncdhhs.gov/nc-hospitals-fee-schedule-june-13-2022-excel/open - Effective 2021-07-01 - The document provides updated Medicaid rates for various procedures, effective from 7/1/2021 with no end date specified, indicating ongoing applicability. It includes rates for psychiatric, rehabilitation, and swing bed units, as well as specific procedure codes like 0225U and 86413. URL: https://medicaid.ncdhhs.gov/php-managed-care-hospital-outpatient-laboratory-fee-schedule-aug-22-2022-pdf/open - Effective 2021-07-01 - The document outlines a Medicaid managed care hospital outpatient laboratory fee schedule update effective from July 1, 2021. It specifies that rates are 146.38% of the fee-for-service lab fee schedule and includes draft rates pending CMS approval. URL: https://medicaid.ncdhhs.gov/php-managed-care-hospital-outpatient-laboratory-fee-schedule-aug-22-2022-excel/open - Effective 2021-04-01 - The document includes updates to the Federally Qualified Health Center fee schedule, specifically for COVID-19 vaccine administration codes 0031A and 0034A, with rates set at $65. These updates are effective from April 1, 2021, and October 20, 2021, respectively, and remain valid indefinitely. (LLM: medium) URL: https://medicaid.ncdhhs.gov/federally-qualified-health-centers-fqhc-fee-schedules-sept-19-2022-excel/open - Effective 2020-03-10 - The document outlines a consolidated personal care services fee schedule effective from 06-20-2022, with specific rate changes for various care services and modifiers. The last update was on 09/08/2022, and it includes historical rates and COVID-19 related adjustments. (LLM: medium) URL: https://medicaid.ncdhhs.gov/personal-care-services-fee-schedule-sept-8-2022-excel/open - Effective 2020-03-10 - The document outlines historical Medicaid rate changes for personal care services, with the most recent update on 09/08/2022. It includes various effective dates for rate add-ons related to COVID-19 impacts. URL: https://medicaid.ncdhhs.gov/personal-care-services-fee-schedule-sept-8-2022-pdf/open - Effective 2018-01-01 - The document outlines the NC Medicaid Physician Services Fee Schedule, with rates set as of January 1, 2014, and updates based on January 1st RVU of the year a service was established. It includes specific taxonomy-defined rates for ACA-related services, effective from January 1, 2018. (LLM: medium) URL: https://medicaid.ncdhhs.gov/physician-services-fee-schedule-sept-8-2022-excel/open - Effective 2014-01-01 - The document contains Medicaid rate information effective from January 1, 2014, for various medical procedures, including drainage of abscesses and radical resection of soft tissue tumors. However, the rates are historical, and there is no indication of current or upcoming changes. URL: https://medicaid.ncdhhs.gov/documents/fee-schedules/podiatry/podiatry-rates-2018-01-01/open OTHER NEW_DOC (Unknown date) - 27 - The document includes updates to the Rural Health Clinic Fee Schedule, specifically mentioning COVID-19 vaccine administration codes. It highlights the inclusion of codes 0031A and 0034A for COVID-19 vaccine administration, effective from 2021-04-01 and 2021-10-20, respectively. URL: https://medicaid.ncdhhs.gov/rural-health-clinical-fee-schedule-sept-19-2022-excel/open - The document includes updated Medicaid rates for various medical procedures, including immunization administration and surgical procedures, with effective dates starting from 2021 and 2022. URL: https://medicaid.ncdhhs.gov/rural-health-clinical-fee-schedule-aug-3-2022-pdf/open - The document outlines the NC Medicaid Nurse Practitioner Fee Schedule, with rates set as of January 1, 2014, and updates based on RVUs from January 1, 2018. It includes specific taxonomy-defined rates under the Affordable Care Act (ACA). URL: https://medicaid.ncdhhs.gov/nurse-practitioner-fee-schedule-aug-4-2022-excel/open - The document includes updates on Medicaid rates for COVID-19 vaccine administration and various craniotomy procedures, with effective dates in 2021 and 2022. URL: https://medicaid.ncdhhs.gov/rural-health-clinic-fee-schedule-june-23-2022-pdf/open - The document provides updated Medicaid rates for various procedures, including COVID-19 vaccine administration and neurosurgical procedures, with effective dates starting from 2021 and 2022, continuing indefinitely. URL: https://medicaid.ncdhhs.gov/federally-qualified-health-centers-fqhc-fee-schedules-oct-17-2022-pdf/open - The document includes updated Medicaid rates for various procedures, including COVID-19 vaccine administration and surgical procedures, with effective dates starting from 2021 and 2022, continuing indefinitely. URL: https://medicaid.ncdhhs.gov/local-health-department-fee-schedule-july-26-2022-pdf/open - The document outlines the NC Medicaid physician services fee schedule, with rates set as of January 1, 2014, unless otherwise noted. Rate changes are based on the January 1st RVU of the year the service was established. Specific taxonomy codes are listed for ACA-defined rates. URL: https://medicaid.ncdhhs.gov/physician-services-fee-schedule-oct-11-2022-excel/open - The document provides a fee schedule update for federally qualified health centers, including rates for COVID-19 vaccine administration codes. The effective date for these rates is January 3, 2022, with no specified end date. URL: https://medicaid.ncdhhs.gov/federally-qualified-health-centers-fqhc-fee-schedules-aug-10-2022-excel/open - The document provides a laboratory fee schedule with specific rates for various procedures, effective from 2020 and 2022, with no imminent changes indicated. URL: https://medicaid.ncdhhs.gov/laboratory-fee-schedules-sept-19-2022-excel/open - The document includes updates on Medicaid rates for various medical procedures, including immunization administration and surgical procedures, with effective dates starting from 2021 and 2022. URL: https://medicaid.ncdhhs.gov/federally-qualified-health-centers-fqhc-fee-schedules-aug-10-2022-pdf/open - The document includes updates to the Rural Health Clinic Fee Schedule, specifically mentioning COVID-19 vaccine administration codes. It highlights the importance of referring to the Medicaid billing guide and monthly bulletins for updates. URL: https://medicaid.ncdhhs.gov/rural-health-clinical-fee-schedule-oct-17-2022-excel/open - The document provides updated Medicaid rates for various procedure codes, effective from 2020 and 2022, with no end date specified. Rates for procedures like SARS-CoV-2 testing and metabolic panels are included. URL: https://medicaid.ncdhhs.gov/laboratory-fee-schedules-sept-19-2022-pdf/open - The document provides updated Medicaid rates for various procedure codes, effective from 2020 and 2022, with no end date specified other than '12/31/9999'. URL: https://medicaid.ncdhhs.gov/laboratory-fee-schedules-sept-16-2022-pdf/open - The document contains updated Medicaid rates for various procedures, including immunization administration and brain surgery, with effective dates starting from 2021 and 2022, continuing indefinitely. URL: https://medicaid.ncdhhs.gov/federally-qualified-health-centers-fqhc-fee-schedules-sept-19-2022-pdf/open - The document outlines the NC Medicaid Physician Services Fee Schedule, with rates set as of January 1, 2014, and updates based on January 1st RVU of the year a service was established. It includes ACA-defined taxonomy rates and specific taxonomies for E&M codes with rates based on January 1, 2018 RVU. URL: https://medicaid.ncdhhs.gov/physician-services-fee-schedule-aug-4-2022-excel/open - The document provides a fee schedule for nurse midwives in North Carolina, detailing facility and non-facility rates for various procedures. The effective date for these rates is January 1, 2022, with no specified end date, indicating they are current. URL: https://medicaid.ncdhhs.gov/nurse-midwives-fee-schedule-october-19-2022-excel/open - The document includes updated Medicaid rates for various procedures, including COVID-19 vaccine administration and surgical procedures, with effective dates starting from 2021 and 2022, continuing indefinitely. URL: https://medicaid.ncdhhs.gov/local-health-department-fee-schedule-sept-20-2022-pdf/open - The document provides updated Medicaid rates for various procedures, including immunization administration and surgical procedures, with effective dates starting from 2021 and 2022, continuing indefinitely. URL: https://medicaid.ncdhhs.gov/rural-health-clinical-fee-schedule-oct-17-2022-pdf/open - The document outlines the NC Medicaid Physician Services Fee Schedule, with rates set as of January 1, 2014, and updates based on RVUs from January 1, 2018. It includes specific taxonomy codes for rate application. URL: https://medicaid.ncdhhs.gov/physician-services-fee-schedule-aug-10-2022-excel/open - The document provides updated Medicaid rates for various procedure codes, effective from 2021 and 2022, with no end date specified, indicating ongoing applicability. URL: https://medicaid.ncdhhs.gov/nurse-midwives-fee-schedule-aug-18-2022-pdf/open - The document includes updates on Medicaid rates for various medical procedures, including immunization administration and surgical procedures, with effective dates starting from 2021 and 2022, continuing indefinitely. URL: https://medicaid.ncdhhs.gov/rural-health-clinical-fee-schedule-aug-10-2022-pdf/open - The document provides a laboratory fee schedule with specific rates for various procedures, effective from 2020 and 2022, with no changes to current rates or effective dates. URL: https://medicaid.ncdhhs.gov/laboratory-fee-schedules-sept-16-2022-excel/open - The document includes updates to Medicaid reimbursement rates for specific procedures, including COVID-19 vaccine administration and various spinal procedures. Rates for these services are specified for both facility and non-facility settings. URL: https://medicaid.ncdhhs.gov/federally-qualified-health-centers-fqhc-fee-schedules-june-23-2022-pdf/open - The document includes updates to Medicaid rates for specific procedures, including COVID-19 vaccine administration and various surgical procedures, with effective dates starting from 2021 and 2022, extending indefinitely. URL: https://medicaid.ncdhhs.gov/local-health-department-fee-schedule-june-23-2022-pdf/open - The document contains updated Medicaid rates for various procedures, including COVID-19 vaccine administration and intracranial surgeries, with effective dates starting from 2021 and 2022, continuing indefinitely. URL: https://medicaid.ncdhhs.gov/rural-health-clinical-fee-schedule-sept-19-2022-pdf/open - The document includes updates to the Federally Qualified Health Center fee schedule, specifically mentioning COVID-19 vaccine administration codes. Rates for these services are listed, but coverage is not guaranteed. URL: https://medicaid.ncdhhs.gov/federally-qualified-health-centers-fqhc-fee-schedules-oct-17-2022-excel/open - The document provides billing instructions for various enteral and parenteral nutrition supplies and equipment, including specific procedure codes and descriptions. Providers are reminded to bill their usual and customary rates. URL: https://medicaid.ncdhhs.gov/home-infusion-therapy-fee-schedule-sept-19-2022-pdf/open
High Impact (4)
open
The document provides updated Medicaid rates effective October 1, 2022, for various healthcare facilities, including specific rate increases and COVID-19 related adjustments.
Highlights
- •Effective date: October 1, 2022
- •Includes COVID-19 base and resident rates
- •Lists specific facilities with updated rates
- •Shows percentage increases (5% & 10%)
Reason
The document contains specific rate changes effective immediately, impacting reimbursement.
Watch items
open
The document includes updates to Medicaid reimbursement rates for specific procedures, including COVID-19 vaccine administration and various spinal procedures. Rates for these services are specified for both facility and non-facility settings.
Highlights
- •COVID-19 vaccine administration (CPT 0001A) rate: $65.00 for both facility and non-facility.
- •Spinal puncture, lumbar, diagnostic (CPT 62270) rate: $61.31 facility, $117.26 non-facility.
- •Injection of neurolytic substance (CPT 62280) rate: $119.66 facility, $230.41 non-facility.
Reason
The document specifies current reimbursement rates for COVID-19 vaccine administration and other procedures, impacting billing and reimbursement.
Watch items
open
The document outlines updated Medicaid rates effective October 1, 2022, for various healthcare facilities, including specific rate components and COVID-19 adjustments.
Highlights
- •Effective date: October 1, 2022
- •Includes COVID-19 base and resident rates
- •Lists specific facilities with updated rates
- •Details rate components like CMI, indirect, direct, and FRV
Reason
The document contains specific rate changes effective immediately, impacting reimbursement.
Watch items
open
The document outlines revised Medicaid reimbursement rates for skilled nursing facilities in North Carolina, effective from October 1, 2022, to December 31, 2022. It includes specific rate adjustments for COVID-19 impacts and ensures that rates do not fall below those set on July 1, 2022.
Highlights
- •Revised rates effective October 1, 2022 - December 31, 2022.
- •Includes COVID-19 rate adjustments.
- •Rates will not be lower than July 1, 2022 rates.
- •Applies to skilled nursing facilities in NC.
Reason
The document contains specific rate changes effective immediately, impacting reimbursement.
Watch items
Medium Impact (40)
open
The document provides a fee schedule for nurse midwives in North Carolina, detailing facility and non-facility rates for various procedures. The effective date for these rates is January 1, 2022, with no specified end date, indicating they are current.
Highlights
- •Fee schedule for nurse midwives in NC.
- •Includes facility and non-facility rates.
- •Effective date: January 1, 2022.
- •Rates are current with no end date specified.
Reason
The document is current but lacks evidence of recent changes or urgency.
Watch items
open
The document outlines Medicaid reimbursement rates for skilled nursing facilities in North Carolina, effective from October 1, 2022, to December 31, 2022. It includes specific rate adjustments for COVID-19 and notes that if October rates are lower than July rates, the July rates remain effective.
Highlights
- •Effective dates: October 1, 2022 - December 31, 2022
- •Includes COVID-19 rate adjustments
- •July 1, 2022 rates remain if October rates are lower
- •Specific rates listed for multiple facilities
Reason
The document contains current rate information but does not indicate immediate changes or new policies requiring urgent review.
Watch items
open
The document includes updates to Medicaid rates for various medical supplies and equipment, with effective dates primarily in 2021 and 2022. Notable changes include specific pricing for items like alcohol wipes, urinary catheter devices, and power wheelchairs.
Highlights
- •Alcohol wipes priced at $3.21 effective 4/1/2021.
- •Urinary catheter device priced at $2.58 effective 4/1/2021.
- •Power wheelchair priced at $409.20 effective 1/1/2022.
- •Durable medical equipment fee schedule effective June 6, 2022.
Reason
The document contains specific rate updates, but many are historical, with the most recent effective date being June 6, 2022.
Watch items
open
The document provides billing instructions for various enteral and parenteral nutrition supplies and equipment, including specific procedure codes and descriptions. Providers are reminded to bill their usual and customary rates.
Highlights
- •Billing instructions for enteral feeding supply kits (B4034, B4035, B4036).
- •Details on nasogastric and gastrostomy tubes (B4081, B4082, B4083, B4087).
- •Information on enteral formulas and parenteral nutrition solutions (B4150, B5100, B5200).
- •Equipment details for nutrition pumps and IV poles (B9002, B9004, B9006, E0776, E0781).
Reason
The document outlines billing instructions but lacks specific rate changes or effective dates.
open
The document includes updates to the Federally Qualified Health Center fee schedule, specifically mentioning COVID-19 vaccine administration codes. Rates for these services are listed, but coverage is not guaranteed.
Highlights
- •Federally Qualified Health Center fee schedule update.
- •Includes COVID-19 vaccine administration codes 0031A and 0034A.
- •Rates for these codes are $65 each.
- •Effective dates range from 2021-04-01 to 9999-12-31.
Reason
The document includes relevant updates to vaccine administration codes, but the effective dates are not imminent.
Watch items
open
The document contains updated Medicaid rates for various procedures, including COVID-19 vaccine administration and intracranial surgeries, with effective dates starting from 2021 and 2022, continuing indefinitely.
Highlights
- •COVID-19 vaccine administration rates set at $65.00.
- •Intracranial surgery rates range from $983.75 to $1926.46.
- •Effective dates for procedures start from 4/1/2021 and 1/1/2022.
- •Rates are effective until 12/31/9999.
Reason
The document provides updated rates but lacks imminent changes or new effective dates.
Watch items
open
The document includes updates to Medicaid rates for specific procedures, including COVID-19 vaccine administration and various surgical procedures, with effective dates starting from 2021 and 2022, extending indefinitely.
Highlights
- •COVID-19 vaccine administration code 0001a: $65.00 fee, effective 4/1/2021.
- •Surgical procedure 49010: $712.10 fee, effective 1/1/2022.
- •Surgical procedure 49020: $1,178.41 fee, effective 1/1/2022.
Reason
The document contains updated rates for specific procedures, but the effective dates are not imminent, reducing urgency.
Watch items
open
The document outlines the NC Medicaid nurse practitioner fee schedule, with rates set as of January 1, 2014, and updates based on RVUs from January 1st of the service year. It includes specific rates for procedures effective from January 1, 2022.
Highlights
- •Rates set as of January 1, 2014.
- •Updates based on January 1st RVU of service year.
- •Specific rates effective January 1, 2022.
- •Includes ACA-defined taxonomy rates.
Reason
The document appears current but lacks imminent changes or new effective dates.
Watch items
open
The document includes updated Medicaid rates for various immunization and neuroendoscopy procedures, effective from 08/02/2022. Rates for COVID-19 vaccine administration and neuroendoscopy procedures are specified.
Highlights
- •Effective date: 08/02/2022
- •COVID-19 vaccine administration codes: 0001A, 0002A, 0003A, 0004A
- •Neuroendoscopy procedure codes: 62165, 62180, 62190, 62192, 62194, 62200, 62201, 62220, 62223, 62225, 62230, 62252
Reason
The document provides specific rate updates effective from 08/02/2022, but the date is not imminent.
Watch items
open
The document outlines the NC Medicaid Physician Services Fee Schedule, with rates set as of January 1, 2014, and updates based on January 1st RVU of the year a service was established. It includes specific taxonomy-defined rates for ACA-related services, effective from January 1, 2018.
Highlights
- •Rates set as of January 1, 2014, unless noted.
- •Updates based on January 1st RVU of service year.
- •Includes ACA-defined taxonomy rates from January 1, 2018.
- •Providers should refer to Medicaid bulletins for updates.
Reason
The document appears current but lacks specific imminent rate changes or effective dates.
open
The document includes updates on Medicaid rates for various medical procedures, including immunization administration and surgical procedures, with effective dates starting from 2021 and 2022, continuing indefinitely.
Highlights
- •Rates for immunization administration codes 0001A, 0002A, 0003A, and 0004A are set at $65.00.
- •Surgical procedure rates for codes 61624, 61626, 61680, 61682, 61684, 61686, 61690, and 61692 are specified.
- •Effective dates for these rates range from 4/1/2021 to 1/1/2022, with no end date specified (12/31/9999).
Reason
The document provides updated rates but lacks imminent changes or new effective dates.
Watch items
open
The document outlines a hearing aid fee schedule effective September 7, 2022, with specific rates for various hearing aid services. It includes details on billing for monaural and binaural hearing aids, as well as dispensing fees.
Highlights
- •Fee schedule effective September 7, 2022.
- •Includes rates for hearing aid services.
- •Specific codes: V5014, V5050, V5060, V5090, V5110, V5130, V5160, V5240, V5241.
- •Rates provided for dispensing fees and hearing aid types.
Reason
The document is current but lacks imminent changes or new rates beyond the effective date.
Watch items
open
The document provides updated Medicaid rates for various procedure codes, effective from 2021 and 2022, with no end date specified, indicating ongoing applicability.
Highlights
- •Updated rates for procedure codes effective from 2021 and 2022.
- •Rates include facility and non-facility pricing.
- •No end date specified, indicating ongoing applicability.
- •Includes codes like 0031A, 01996, 0225U, and others.
Reason
The document contains updated rates but they have been effective since 2021 and 2022, reducing immediate urgency.
Watch items
open
The document includes updated Medicaid rates for various medical supplies and equipment, with effective dates ranging from April 1, 2021, to January 1, 2022. It also mentions a durable medical equipment fee schedule effective August 16, 2022.
Highlights
- •Rates for items like alcohol wipes, urinary catheter devices, and power wheelchairs are listed.
- •Effective dates for some items are April 1, 2021, and January 1, 2022.
- •A new fee schedule is effective August 16, 2022.
- •Some items require prior approval.
Reason
The document contains updated rates and a new fee schedule, but the effective dates are not imminent.
Watch items
open
The document is a durable medical equipment fee schedule for NC Medicaid, effective June 6, 2022. It includes HCPCS codes and rates for various items, but the rates listed are from 2021.
Highlights
- •Document type: Durable Medical Equipment Fee Schedule
- •Effective date: June 6, 2022
- •Includes HCPCS codes and rates
- •Rates listed are from 2021
- •Coverage not guaranteed by inclusion
Reason
The document is current but lacks new rate changes, listing only 2021 rates.
Watch items
open
The document provides updated Medicaid rates for various procedures, including immunization administration and surgical procedures, with effective dates starting from 2021 and 2022, continuing indefinitely.
Highlights
- •Updated rates for immunization administration codes 0001a, 0002a, 0003a.
- •Rates for surgical procedures like 61702, 61703, 61705, effective from 1/1/2022.
- •Rates are set to continue indefinitely (end date 12/31/9999).
Reason
The document contains updated rates but no immediate changes or new effective dates.
Watch items
open
The document outlines the NC Medicaid Physician Assistant Fee Schedule, with rates set as of January 1, 2014, and updates based on RVUs from January 1 of the service year. It includes specific rates for procedures like debridement, effective from January 1, 2022.
Highlights
- •Rates set as of January 1, 2014, unless noted.
- •Updates based on January 1 RVUs of service year.
- •Specific rates for debridement effective January 1, 2022.
- •Includes ACA-defined taxonomy rates.
Reason
The document provides specific rate updates effective from January 1, 2022, but lacks imminent changes.
Watch items
open
The document includes updates to Medicaid maximum rates for various medical items, with effective dates primarily in 2021 and 2022. Notable changes include rates for alcohol wipes, urinary catheter devices, and power wheelchairs.
Highlights
- •Alcohol wipes: $3.21 per box, effective 4/1/2021
- •Urinary catheter device: $2.58 each, effective 4/1/2021
- •Power wheelchair (K0837): $470.98, effective 1/1/2022
- •Power wheelchair (K0838): $421.34, effective 1/1/2022
Reason
The document contains rate updates effective in 2021 and 2022, but no imminent changes.
Watch items
open
The document provides a fee schedule for podiatry services effective August 10, 2022, with specific rates for various procedures. However, the effective dates for the listed procedures are January 1, 2022.
Highlights
- •Podiatry services fee schedule effective August 10, 2022.
- •Rates listed for procedures like fine needle aspiration and debridement.
- •Effective dates for procedures are January 1, 2022.
Reason
The document is current but lacks imminent changes, as the effective dates for procedures are in the past.
Watch items
open
The document includes updated Medicaid rates for various procedures, including COVID-19 vaccine administration and surgical procedures, with effective dates starting from 2021 and 2022, continuing indefinitely.
Highlights
- •COVID-19 vaccine administration code 0001a: $65.00 fee, effective 4/1/2021
- •Procedure code 49060: $826.39 fee, effective 1/1/2022
- •Procedure code 49215: $1,652.19 fee, effective 1/1/2022
Reason
The document contains updated rates for procedures, but the effective dates are not imminent, reducing urgency.
Watch items
open
The document is a durable medical equipment fee schedule for NC Medicaid, effective August 16, 2022. It includes HCPCS codes and rates for various items, but the rates listed are from 2021.
Highlights
- •Document type: Durable Medical Equipment Fee Schedule
- •Effective date: August 16, 2022
- •Includes HCPCS codes and rates
- •Rates listed are from 2021
- •Coverage not guaranteed by inclusion
Reason
The document is current but lacks new rate changes, listing only 2021 rates.
open
The document outlines the NC Medicaid Physician Services Fee Schedule, with rates set as of January 1, 2014, and updates based on January 1st RVU of the year a service was established. It includes ACA-defined taxonomy rates and specific taxonomies for E&M codes with rates based on January 1, 2018 RVU.
Highlights
- •Rates set as of January 1, 2014, unless noted.
- •Updates based on January 1st RVU of service year.
- •Includes ACA-defined taxonomy rates.
- •Specific taxonomies for E&M codes with 2018 RVU rates.
Reason
The document appears current but lacks specific rate changes or effective dates that are imminent.
open
The document contains updated Medicaid rates for various procedures, including immunization administration and brain surgery, with effective dates starting from 2021 and 2022, continuing indefinitely.
Highlights
- •Updated rates for immunization administration codes 0001a, 0002a, 0003a.
- •Rates for brain surgery procedures like 61750, 61751, 61760.
- •Effective dates range from 4/1/2021 to 1/1/2022, with no end date specified.
Reason
The document provides updated rates but lacks imminent changes or new effective dates.
Watch items
open
The document includes updates to the Rural Health Clinic Fee Schedule, specifically mentioning COVID-19 vaccine administration codes. It highlights the importance of referring to the Medicaid billing guide and monthly bulletins for updates.
Highlights
- •Rural Health Clinic Fee Schedule update.
- •COVID-19 vaccine administration codes included.
- •Providers should bill usual and customary charges.
- •Refer to Medicaid billing guide for coverage details.
- •Monthly bulletins for schedule updates.
Reason
The document includes relevant updates but lacks immediate effective date changes or specific rate adjustments.
Watch items
open
The document includes updates to the Federally Qualified Health Center fee schedule, specifically for COVID-19 vaccine administration codes 0031A and 0034A, with rates set at $65. These updates are effective from April 1, 2021, and October 20, 2021, respectively, and remain valid indefinitely.
Highlights
- •FQHC fee schedule update for COVID-19 vaccines.
- •Includes codes 0031A and 0034A.
- •Rates set at $65 for each code.
- •Effective dates: 0031A from 2021-04-01, 0034A from 2021-10-20.
Reason
The document provides specific rate updates for COVID-19 vaccine administration, but the effective dates are not imminent.
Watch items
open
The document includes updates on Medicaid rates for various medical procedures, including immunization administration and surgical procedures, with effective dates starting from 2021 and 2022.
Highlights
- •Immunization administration codes 0001A, 0002A, 0003A, and 0004A listed with rates.
- •Surgical procedure codes 61708, 61710, 61711, 61735, 61750, 61751, 61760, 61770, and 61790 listed with rates.
- •Rates for immunization and surgical procedures are set at $65.00 and various amounts respectively.
- •Effective dates range from 4/1/2021 to 1/1/2022, with no end date specified.
Reason
The document provides updated rates for procedures, but the effective dates are not imminent.
Watch items
open
The document outlines a fee schedule for hearing aid services effective September 7, 2022, with specific rates for various services such as repair, modification, and dispensing fees for hearing aids.
Highlights
- •Fee schedule effective September 7, 2022.
- •Includes rates for hearing aid services.
- •Specific codes: V5014, V5050, V5060, V5090, V5110, V5130, V5160, V5240, V5241.
- •Rates provided for both facility and non-facility settings.
Reason
The document is current but lacks clear evidence of immediate reimbursement-impacting changes.
Watch items
open
The document includes updated Medicaid rates for various procedures, including COVID-19 vaccine administration and surgical procedures, with effective dates starting from 2021 and 2022, continuing indefinitely.
Highlights
- •COVID-19 vaccine administration code 0001a: $65.00 fee, effective 4/1/2021
- •Procedure 49060: $826.39 fee, effective 1/1/2022
- •Procedure 49180: $74.96 facility fee, $132.92 non-facility fee, effective 1/1/2022
Reason
The document contains updated rates for procedures, but the changes are not immediately urgent as they have been effective since 2021 and 2022.
Watch items
open
The document provides a fee schedule for podiatry services effective September 6, 2022, with specific rates for various procedures. However, the effective dates for the listed procedures are January 1, 2022, indicating the rates may not be new.
Highlights
- •Podiatry services fee schedule effective September 6, 2022.
- •Rates listed for procedures like fine needle aspiration and debridement.
- •Effective dates for procedures are January 1, 2022.
Reason
The document is current but the effective dates for rates are not imminent, suggesting limited urgency.
Watch items
open
The document provides updated Medicaid rates for various procedures, including COVID-19 vaccine administration and neurosurgical procedures, with effective dates starting from 2021 and 2022, continuing indefinitely.
Highlights
- •COVID-19 vaccine administration rates set at $65.00.
- •Neurosurgical procedure rates range from $622.26 to $1926.46.
- •Effective dates for procedures are 4/1/2021 and 1/1/2022.
- •Rates are effective until 12/31/9999.
Reason
The document contains updated rates for specific procedures, but the effective dates are not imminent, reducing urgency.
Watch items
open
The document is a durable medical equipment fee schedule for NC Medicaid, effective August 22, 2022, listing various items with associated rates.
Highlights
- •Effective date: August 22, 2022
- •Includes rates for items like alcohol wipes and tracheostoma accessories
- •Mentions HCPCS codes and Medicaid maximums
- •Advises to refer to Medicaid billing guide for coverage details
Reason
The document is current but lacks clear evidence of new rate changes or policy impacts.
open
The document outlines updated Medicaid rates for specific facilities, effective July 1, 2022, with uniform COVID-enhanced rates applicable until December 31, 2022.
Highlights
- •Rates effective July 1, 2022, to December 31, 2022.
- •Includes COVID-enhanced rates.
- •Facilities: Kindred Hospital, Oak Forest Health, Valley Nursing Center.
- •Final rate for Kindred Hospital: $627.39.
- •Final rate for Oak Forest Health: $578.48.
- •Final rate for Valley Nursing Center: $411.65.
Reason
The document contains rate updates effective in 2022, which may not be urgent but are relevant for historical context.
Watch items
open
The document outlines the NC Medicaid Nurse Practitioner Fee Schedule, with rates set as of January 1, 2014, and updates based on RVUs from January 1, 2018. It includes specific taxonomy-defined rates under the Affordable Care Act (ACA).
Highlights
- •Rates set as of January 1, 2014, unless noted.
- •Updates based on January 1, 2018 RVUs.
- •Includes ACA-defined taxonomy rates.
- •Specific taxonomies listed for rate application.
Reason
The document appears current but lacks clear imminent changes impacting reimbursement.
open
The document outlines a consolidated personal care services fee schedule effective from 06-20-2022, with specific rate changes for various care services and modifiers. The last update was on 09/08/2022, and it includes historical rates and COVID-19 related adjustments.
Highlights
- •Effective date: 06-20-2022
- •Last update: 09/08/2022
- •Includes COVID-19 rate adjustments
- •Procedure code: 99509 with modifiers HA, HQ, SC, TT
- •Rates for personal care services in different care settings
Reason
The document is current and includes rate changes, but the effective date is not imminent.
Watch items
open
The document includes updates to the Rural Health Clinic Fee Schedule, specifically mentioning COVID-19 vaccine administration codes. It highlights the inclusion of codes 0031A and 0034A for COVID-19 vaccine administration, effective from 2021-04-01 and 2021-10-20, respectively.
Highlights
- •Rural Health Clinic Fee Schedule update.
- •COVID-19 vaccine administration codes: 0031A, 0034A.
- •Effective dates: 2021-04-01, 2021-10-20.
- •Color-coded text for changes: blue for additions, red for deletions.
Reason
The document includes specific vaccine administration codes but lacks imminent effective date changes.
Watch items
open
The document provides updated Medicaid rates for various medical services, including cast applications and hearing aid exams, effective from April 1, 2022, with no specified end date. These rates are applicable until December 31, 9999, indicating they are current and ongoing.
Highlights
- •Rates for cast applications and hearing aid exams provided.
- •Effective date: April 1, 2022.
- •No end date specified, ongoing rates.
- •Includes facility and non-facility fees.
Reason
The document contains current rate information but lacks imminent changes or new effective dates.
open
The document outlines the NC Medicaid Physician Assistant Fee Schedule, with rates set as of January 1, 2014, and changes based on RVUs from January 1st of the service year. It includes specific rates for debridement services effective from January 1, 2022.
Highlights
- •Rates set as of January 1, 2014, unless noted.
- •Rate changes based on January 1st RVU of service year.
- •Specific rates for debridement services from January 1, 2022.
- •Includes ACA-defined taxonomy rates.
Reason
The document includes specific rate information but lacks imminent changes or new effective dates.
Watch items
open
The document provides a fee schedule for nurse midwives, with rates set as of January 1, 2014, unless otherwise noted. It includes specific rates for various procedures effective from January 1, 2022, with no end date specified.
Highlights
- •Fee schedule for nurse midwives updated as of 8/4/2022.
- •Rates set as of January 1, 2014, unless otherwise noted.
- •Specific rates effective from January 1, 2022, with no end date.
- •Includes procedures like 'fna bx w/fluor gdn' and 'drainage of skin abscess'.
Reason
The document includes specific rates effective from 2022, but lacks imminent changes or new effective dates.
Watch items
open
The document includes updated Medicaid rates for various medical procedures, including immunization administration and surgical procedures, with effective dates starting from 2021 and 2022.
Highlights
- •Rates for immunization administration (codes 0001a, 0002a, 0003a, 0004a) are $65.00.
- •Surgical procedure rates (e.g., 61623, 61624) range from $446.36 to $3364.65.
- •Effective dates for these rates are from 4/1/2021 and 1/1/2022, with no end date specified (12/31/9999).
Reason
The document provides updated rates but lacks imminent changes or new effective dates.
Watch items
open
The document outlines the NC Medicaid Nurse Practitioner Fee Schedule, with rates set as of January 1, 2014, and updates based on RVUs from January 1st of the service year. It includes specific rates for procedures effective from January 1, 2022.
Highlights
- •Rates set as of January 1, 2014, unless noted.
- •Updates based on January 1st RVU of service year.
- •Specific rates effective from January 1, 2022.
- •Includes ACA-defined taxonomy rates.
Reason
The document appears current but lacks clear imminent changes impacting reimbursement.
Watch items
Low Impact (54)
open
The document outlines new Medicaid reimbursement rates for hospice services effective October 1, 2022, through September 30, 2023, across various regions in North Carolina and South Carolina.
Highlights
- •Effective date: October 1, 2022 - September 30, 2023
- •New rates for hospice services: routine home care, continuous home care, inpatient respite care, general inpatient care
- •Regions include Asheville, Burlington, Charlotte, Durham, Rocky Mount, Wilmington, Winston-Salem, Virginia Beach, New Bern, Myrtle Beach
- •Rates vary by service and region
Reason
The effective date is over a year in the past, indicating the document is archival.
open
The document provides Medicaid reimbursement rates for various medical procedures, effective January 1, 2022. It includes specific rates for procedures like fine needle aspiration and drainage of abscesses.
Highlights
- •Rates effective from January 1, 2022.
- •Includes procedures like fine needle aspiration and drainage of abscesses.
- •Lists facility and non-facility rates.
- •Mentions procedures such as radical resection of tumor and arthrotomy.
Reason
The effective date is over 24 months in the past, indicating the document is archival.
open
The document provides updated Medicaid fee schedules with specific rates for various procedures, effective from January 1, 2022, with no end date specified. Rates are listed for both facility and non-facility settings.
Highlights
- •Fee schedule updated on 8/10/2022.
- •Rates effective from 1/1/2022 to 12/31/9999.
- •Includes procedures like epidural management and urethra treatments.
- •Facility and non-facility rates provided.
Reason
The effective date is historical, and no immediate changes are indicated.
open
The document provides updates to the Medicaid fee schedule, specifically for COVID-19 vaccine administration codes, with effective dates starting January 3, 2022. Rates for these services are listed as $65 for both facility and non-facility settings.
Highlights
- •Updates to COVID-19 vaccine administration codes.
- •Effective date for changes: January 3, 2022.
- •Rates set at $65 for facility and non-facility.
- •Includes codes 0051A, 0052A, 0053A, 0054A.
Reason
The effective date is historical, over 24 months old, indicating archival relevance rather than immediate urgency.
Watch items
open
The document outlines a Medicaid managed care hospital outpatient laboratory fee schedule update effective from July 1, 2021. It specifies that rates are 146.38% of the fee-for-service lab fee schedule and includes draft rates pending CMS approval.
Highlights
- •Rates effective from 7/1/2021.
- •Applies to hospital lab services only.
- •Rates are 146.38% of FFS lab fee schedule.
- •Draft rates pending CMS approval.
- •Correction in taxonomy code for critical access hospitals.
Reason
The document is historical with an effective date over two years ago, indicating low urgency for immediate review.
open
The document is a fee schedule for nurse midwives in North Carolina, effective from September 30, 2022. It includes various procedure codes with facility and non-facility rates, but no new changes or updates are indicated beyond the effective date.
Highlights
- •Fee schedule for nurse midwives.
- •Effective date: 9/30/2022.
- •Includes procedure codes and rates.
- •No new changes or updates indicated.
Reason
The document appears to be historical with no new changes or updates indicated beyond the effective date.
open
The document provides Medicaid reimbursement rates for various medical procedures, all effective from January 1, 2022. Rates are specified for both facility and non-facility settings.
Highlights
- •Rates effective from 1/1/2022.
- •Includes procedures like excision of malignant lesions and treatment of burns.
- •Rates provided for both facility and non-facility settings.
- •CPT codes include 11623, 16000, 33871, 24361, 37200, 42550, 46942, 49013, 49014, 61624, 92136, 92228, 92250, 92270.
Reason
The document appears historical with rates effective from 1/1/2022, over 24 months ago.
open
The document provides updated Medicaid rates for various procedures, effective from 7/1/2021 with no end date specified, indicating ongoing applicability. It includes rates for psychiatric, rehabilitation, and swing bed units, as well as specific procedure codes like 0225U and 86413.
Highlights
- •Provider types include psychiatric, rehabilitation, and swing bed units.
- •Rates effective from 7/1/2021 with no specified end date.
- •Includes procedure codes like 0225U, 0226U, and 86413.
- •Rates are consistent for facility and non-facility settings.
Reason
The document appears to be historical with rates effective from 2021 and no new changes indicated.
open
The document outlines North Carolina Medicaid hospital rates effective from July 1, 2021, to June 30, 2022, with updates to DRG base rates and a note on the upcoming grouper version change effective October 1, 2022.
Highlights
- •Effective date: July 1, 2021 - June 30, 2022
- •Upcoming grouper version change: October 1, 2022
- •DRG base rates listed for various hospitals
- •No temporary COVID-19 increases included
Reason
The document is historical, covering rates effective until June 30, 2022, with no immediate impact.
open
The document provides updated Medicaid fee schedules with specific rates for various procedures, effective from January 1, 2022, with no end date specified.
Highlights
- •Fee schedule updated on 8/16/2022.
- •Rates effective from 1/1/2022 to 12/31/9999.
- •Includes procedures like neuraxial labor analgesia and hypospadias repair.
- •Facility and non-facility rates are provided.
- •No changes to effective dates or end dates.
Reason
The document appears to be historical with rates effective from 2022 and no immediate changes or new effective dates.
open
The document provides Medicaid reimbursement rates for various medical procedures, effective January 1, 2022. It includes rates for procedures like fine needle aspiration and drainage of abscesses.
Highlights
- •Rates effective from 1/1/2022.
- •Includes procedures like fine needle aspiration and drainage of abscess.
- •Lists facility and non-facility rates.
- •CPT codes such as 10004, 10005, 10006, 10007, 10008, 10009, 10060, 10061, 10120, 28047, 28050, 28052, 28054, 28055, 28060, 28062, 28070, 28072, 28080, 28086.
Reason
The effective date is historical, over 24 months old, indicating archival status.
open
The document provides updated Medicaid fee schedules with specific rates for various procedures, effective from January 1, 2022, with no end date specified. Rates are listed for both facility and non-facility settings.
Highlights
- •Fee schedule updated on 8/10/2022.
- •Rates effective from 1/1/2022 to 12/31/9999.
- •Includes facility and non-facility rates.
- •Covers procedures like anesth/analg vag delivery and nerve injections.
Reason
The effective date is historical, and no immediate changes are indicated.
open
The document provides a fee schedule for radiological and imaging services, effective from January 1, 2022, with no end date specified. It includes specific rates for various x-ray examinations under provider specialty 097.
Highlights
- •Radiological/imaging services fee schedule for specialty 097.
- •Effective date: January 1, 2022.
- •Rates provided for specific x-ray procedures.
- •No end date specified (12/31/9999 used as placeholder).
Reason
The document appears to be historical with an effective date over 24 months ago, and no new changes are indicated.
open
The document provides a laboratory fee schedule with specific rates for various procedures, effective from 2020 and 2022, with no changes to current rates or effective dates.
Highlights
- •Independent lab fee schedule updated as of 9-16-22.
- •Rates for procedures 0225U, 0226U, 0240U, and 0241U listed with effective dates from 2020.
- •Rates for drug assays (e.g., caffeine, carbamazepine) effective from 2022.
- •No new rates or effective date changes identified.
Reason
The document does not indicate any new or imminent changes to rates or policies.
open
The document provides the Medicaid reimbursement rates for hospice services effective from October 1, 2022, to September 30, 2023. It includes specific rates for various types of hospice care across different regions in North Carolina.
Highlights
- •Effective date: October 1, 2022 - September 30, 2023
- •Covers hospice services: routine home care, continuous home care, inpatient respite care, general inpatient care
- •Rates specified for regions in North Carolina, including Asheville, Burlington, Charlotte, Raleigh, Rocky Mount, Wilmington, Winston-Salem, and Virginia Beach areas
- •Includes specific rate details for each type of care and region
Reason
The document is historical, covering a period that began over a year ago, and does not indicate any new or upcoming changes.
open
The document includes updates to the fee schedule for COVID-19 vaccine administration codes, effective from January 3, 2022, with no end date specified.
Highlights
- •Updates to COVID-19 vaccine administration codes 0051A, 0052A, 0053A, 0054A.
- •Effective date for changes: January 3, 2022.
- •No specified end date for these codes.
- •Rates for both facility and non-facility set at 65.
Reason
The effective date is historical, and no immediate action is required.
Watch items
open
The document provides updated Medicaid rates for various procedure codes, effective from January 1, 2022, with no specified end date. Rates are listed for both facility and non-facility settings.
Highlights
- •Procedure codes include 10004 to 10012 and 82306 to 82728.
- •Rates are effective from 1/1/2022 to 12/31/9999.
- •Both facility and non-facility rates are provided.
- •No changes to existing rates or new codes are indicated.
Reason
The document appears to be historical with rates effective from 2022, and no immediate changes are indicated.
open
The document provides a fee schedule for radiological and imaging services effective from January 1, 2022, with no end date specified. It includes specific rates for various x-ray procedures under provider specialty 097.
Highlights
- •Fee schedule for radiological/imaging services.
- •Effective date: January 1, 2022.
- •Includes rates for x-ray procedures.
- •Provider specialty: 097.
- •No specified end date (9999-12-31).
Reason
The document appears historical with an effective date over 24 months ago, and no indication it supersedes current policy.
open
The document includes updates to the fee schedule for federally qualified health centers, specifically for COVID-19 vaccine administration codes. Rates for these services are set at $65 for both facility and non-facility settings, effective from January 3, 2022, with no end date specified.
Highlights
- •Federally qualified health center fee schedule update.
- •COVID-19 vaccine administration codes: 0051A, 0052A, 0053A, 0054A.
- •Rates set at $65 for both facility and non-facility.
- •Effective date: January 3, 2022, with no specified end date.
Reason
The effective date is historical, and no immediate changes are indicated.
Watch items
open
The document outlines updated fee schedule rates for vent bed facilities, effective from July 1, 2022, to December 31, 2022, with COVID-19 enhanced rates included.
Highlights
- •Effective date: July 1, 2022 - December 31, 2022
- •Includes COVID-19 enhanced rates
- •Facilities: Kindred Hospital East Greensboro, Oak Forest Health and Rehabilitation, Valley Nursing Center
- •Final rates include a 10% increase and a COVID-19+ standard rate
Reason
The effective date is historical, and the document does not supersede current schedules.
open
The document outlines historical Medicaid rate changes for personal care services, with the most recent update on 09/08/2022. It includes various effective dates for rate add-ons related to COVID-19 impacts.
Highlights
- •Rates effective prior to 03/10/2020 and various COVID-19 related periods.
- •PCS EVV rate + PHE 15% effective 01/01/2021 to 10/31/2021.
- •COVID-19 add-on factors effective from 11/01/2021 to 12/31/2021.
- •PCS rate add-ons effective from 01/01/2022 to 12/31/2022.
- •Fee schedule last updated on 09/08/2022.
Reason
The document primarily contains historical rate information with no imminent changes.
open
The document is a fee schedule for the Physician Administered Drug Program effective January 1, 2022, with updates noted as of June 16, 2022. It includes specific rates for various drugs but does not guarantee coverage.
Highlights
- •Effective date: January 1, 2022
- •Updated: June 16, 2022
- •Includes rates for drugs like Berinert, Cinryze, Ilaris, Anascorp, Cimzia, Xiaflex, Adakveo, Xgeva, Prolia, Soliris
- •Rates are listed but coverage is not guaranteed
- •Color-coded text indicates changes
Reason
The document is historical with an effective date over 24 months ago, and no new changes are indicated.
open
The document outlines the NC Medicaid Physician Services Fee Schedule, with rates set as of January 1, 2014, and updates based on RVUs from January 1, 2018. It includes specific taxonomy codes for rate application.
Highlights
- •Rates set as of January 1, 2014, unless noted.
- •Updates based on January 1, 2018 RVUs.
- •Specific taxonomy codes listed for rate application.
- •Advises checking Medicaid bulletins for updates.
Reason
The document appears historical with rates set in 2014 and updates from 2018, indicating it is not urgent for immediate review.
open
The document provides updated Medicaid fee schedules with specific rates for various procedures, effective from January 1, 2022, with no end date specified. Rates are listed for both facility and non-facility settings.
Highlights
- •Fee schedule updated on 8/4/2022.
- •Rates effective from 1/1/2022 to 12/31/9999.
- •Includes procedures like neuraxial labor analgesia and prostate surgeries.
- •Facility and non-facility rates are provided.
- •No immediate changes or new effective dates noted.
Reason
The document appears to be historical with rates effective from 2022 and no new changes or effective dates are indicated.
open
The document outlines the 2022 fee schedule for local health departments, including rates for coronavirus vaccine administration codes effective from January 3, 2022. The schedule includes specific CPT codes with associated fees.
Highlights
- •Fee schedule effective 1/01/2022.
- •Includes coronavirus vaccine administration codes.
- •Rates for codes 0051A, 0052A, 0053A, 0054A, 0064A are $65.
- •Effective date for rates is 2022-01-03.
- •Document updated on 07/26/2022.
Reason
The document is historical with an effective date in the past and no indication of superseding current policy.
Watch items
open
The document provides updated Medicaid fee schedules for various procedures, effective from January 1, 2022, with no end date specified. Rates for procedures such as neuraxial labor analgesia and hypospadias repair are included.
Highlights
- •Fee schedule updated on 8/10/2022.
- •Effective date for rates: 1/1/2022.
- •Rates for neuraxial labor analgesia: $209.63.
- •Rates for hypospadias repair range from $467.71 to $1,208.74.
- •No end date specified for rates (12/31/9999).
Reason
The effective date is historical (1/1/2022), and no immediate changes are indicated.
open
The document provides a fee schedule for home infusion therapy under NC Medicaid, effective September 19, 2022. It includes specific rates for enteral feeding supply kits and formulas.
Highlights
- •Fee schedule effective September 19, 2022.
- •Includes rates for enteral feeding supply kits (B4034, B4035).
- •Rates for pediatric enteral formulas (B4161, B4162).
- •Providers should bill usual and customary rates.
Reason
The effective date is over a year old, indicating the document is likely archival.
open
The document provides updated Medicaid fee schedules with specific rates for various procedures, effective from January 1, 2022, with no end date specified. Rates are listed for both facility and non-facility settings.
Highlights
- •Fee schedule updated on 4/21/2022.
- •Rates effective from 1/1/2022 to 12/31/9999.
- •Includes procedures like epidural management and cystectomy.
- •Rates provided for both facility and non-facility settings.
Reason
The document appears historical with rates effective from 2022 and no immediate changes or new effective dates are indicated.
open
The document provides updated Medicaid rates for various procedure codes, effective from 2020 and 2022, with no end date specified other than '12/31/9999'.
Highlights
- •Rates for procedure codes 0225U, 0226U, 0240U, and 0241U effective from 2020.
- •Rates for procedure codes 36415, 80047, 80048, 80050, 80051, 80053 effective from 2022.
- •Rates for sensitivity tests and antibody tests effective from 2022.
Reason
The document contains historical rate information with no immediate changes or new effective dates.
open
The document provides updated Medicaid rates for various procedure codes, effective from 2020 and 2022, with no end date specified. Rates for procedures like SARS-CoV-2 testing and metabolic panels are included.
Highlights
- •Procedure codes 0225U, 0226U, 0240U, 0241U have rates effective from 2020.
- •Rates for codes 36415, 80047, 80048, 80050, 80051, 80053 effective from 2022.
- •Rates for sensitivity tests (86510, 86580) and antibody tests (86602, 86603) effective from 2022.
- •All rates have an end date of 12/31/9999.
Reason
The document contains historical rate information with no immediate changes or new effective dates.
open
The document provides updated Medicaid rates for various procedure codes, effective from January 1, 2022, with no specified end date. Rates are listed for both facility and non-facility settings.
Highlights
- •Rates effective from 1/1/2022 with no end date.
- •Includes facility and non-facility rates.
- •Covers procedures like drug administration and various assays.
- •Specific codes include 10004, 10005, 82533, 82565, among others.
Reason
The rates are effective from 2022, indicating the document is not urgent for immediate review.
Watch items
open
The document outlines a draft update to the PHP managed care hospital outpatient laboratory fee schedule, effective from July 1, 2021. Rates are set at 146.38% of the FFS lab fee schedule and are pending CMS approval.
Highlights
- •Draft rates for PHP managed care hospital outpatient lab services.
- •Rates effective from 7/1/2021.
- •Rates are 146.38% of FFS lab fee schedule.
- •Pending CMS approval.
- •Applies to specific hospital provider types.
Reason
The document is historical with an effective date over two years ago and rates are still pending approval.
open
The document contains Medicaid rate information effective from January 1, 2014, for various medical procedures, including drainage of abscesses and radical resection of soft tissue tumors. However, the rates are historical, and there is no indication of current or upcoming changes.
Highlights
- •Rates effective from January 1, 2014.
- •Includes procedures like drainage of abscesses and tumor resections.
- •No evidence of new or updated rates.
Reason
The document contains historical rates from 2014 with no indication of current changes.
open
The document provides a laboratory fee schedule with specific rates for various procedures, effective from 2020 and 2022, with no imminent changes indicated.
Highlights
- •Independent lab fee schedule updated as of 9-19-22.
- •Rates for procedures like SARS-CoV-2 ELISA and drug assays listed.
- •Effective dates range from 2020-08-10 to 2022-01-01.
- •No new effective dates or rate changes noted.
Reason
The document appears to be a current schedule but lacks new or imminent changes impacting reimbursement.
open
The document provides updated Medicaid fee schedules for various procedure codes, effective from January 1, 2022, with no end date specified. Rates for COVID-19 vaccine administration and nerve injection procedures are included.
Highlights
- •Fee schedule updated on 9/8/2022.
- •COVID-19 vaccine administration codes (e.g., 0074a, 0083a) listed with $65.00 rate.
- •Nerve injection procedures (e.g., 64405, 64408) have specific facility and non-facility rates.
- •Effective date for all listed rates is 1/1/2022.
- •No end date specified, indicating ongoing applicability.
Reason
The document appears historical with rates effective from 1/1/2022, suggesting no immediate review urgency.
open
The document provides a fee schedule update for federally qualified health centers, including rates for COVID-19 vaccine administration codes. The effective date for these rates is January 3, 2022, with no specified end date.
Highlights
- •Federally qualified health center fee schedule update.
- •Includes COVID-19 vaccine administration codes: 0051A, 0052A, 0053A, 0054A.
- •Rates for vaccine administration set at $65 for both facility and non-facility.
- •Effective date for rates: January 3, 2022.
- •No end date specified for these rates.
Reason
The document appears historical with an effective date over 24 months ago, indicating low urgency for immediate review.
Watch items
open
The document outlines the NC Medicaid physician services fee schedule, with rates set as of January 1, 2014, unless otherwise noted. Rate changes are based on the January 1st RVU of the year the service was established. Specific taxonomy codes are listed for ACA-defined rates.
Highlights
- •Rates set as of January 1, 2014, unless noted.
- •Rate changes based on January 1st RVU of service year.
- •Includes ACA-defined taxonomy rates.
- •Specific taxonomy codes listed for rate application.
Reason
The document appears historical with rates set as of 2014, and no imminent changes are indicated.
open
The document provides North Carolina Medicaid rates for hospitals, effective from July 1, 2021, to June 30, 2022. It includes specific DRG base rates for various hospitals and notes an upcoming change to DRG Grouper V40 effective October 1, 2022.
Highlights
- •Rates effective July 1, 2021, to June 30, 2022.
- •DRG Grouper V40 effective October 1, 2022.
- •Specific DRG base rates listed for hospitals.
- •No temporary COVID-19 increases included.
Reason
The document is historical, covering rates effective until June 30, 2022, with no immediate changes impacting current reimbursement.
open
The document is a fee schedule from the North Carolina Department of Health and Human Services, effective January 1, 2022, with updates as of September 20, 2022. It includes rates for COVID-19 vaccine administration codes, all set at $65.
Highlights
- •Fee schedule effective 1/01/2022
- •Updated on 09/20/2022
- •COVID-19 vaccine administration codes listed
- •Rates for codes 0001A, 0051A, 0052A, 0053A, 0054A, 0064A set at $65
- •End date for rates is 9999-12-31
Reason
The document appears historical with an effective date in the past and no immediate changes impacting reimbursement.
open
The document is a 2022 fee schedule for local health departments in North Carolina, detailing rates for coronavirus vaccine administration codes effective from January 1, 2022. It includes specific CPT codes and their associated fees.
Highlights
- •Local health department fee schedule for 2022.
- •Effective date: January 1, 2022.
- •Includes CPT codes for coronavirus vaccine administration.
- •Rates for codes 0001A, 0051A, 0052A, 0053A, 0054A, 0064A.
- •Facility and non-facility fees listed as $65.
Reason
The document is historical with an effective date in the past and no indication of superseding current policy.
Watch items
open
The document provides updates to the Medicaid fee schedule for COVID-19 vaccine administration codes, effective from January 3, 2022, with no end date specified. Rates for both facility and non-facility settings are listed as $65.
Highlights
- •Updates to COVID-19 vaccine administration codes.
- •Effective date: January 3, 2022.
- •Rates: $65 for both facility and non-facility.
- •No end date specified for rates.
Reason
The effective date is historical, over 24 months old, indicating archival relevance.
Watch items
open
The document provides updated Medicaid rates for various procedure codes, effective from January 1, 2022, with no specified end date. Rates are listed for both facility and non-facility settings.
Highlights
- •Procedure codes include 01967, 01996, 10004-10012, 64400-64435.
- •Rates are effective from 1/1/2022 to 12/31/9999.
- •Both facility and non-facility rates are provided.
- •No changes to existing rates or new codes are indicated.
Reason
The document appears to be archival with rates effective from 2022, and no new changes or updates are indicated.
open
The document provides updated Medicaid fee schedules with specific rates for various procedures, effective from January 1, 2022, with no end date specified. Rates are listed for both facility and non-facility settings.
Highlights
- •Fee schedule updated on 8/4/2022.
- •Rates effective from 1/1/2022 to 12/31/9999.
- •Includes procedures like 'anesth/analg vag delivery' and 'remove spine lamina'.
- •Facility and non-facility rates provided.
Reason
The effective date is historical, and no immediate changes are indicated.
open
The document is a fee schedule for optometry services under NC Medicaid, effective September 12, 2022. It includes various procedure codes with associated rates, but the effective dates for these rates are January 1, 2022.
Highlights
- •Optometry services fee schedule for NC Medicaid.
- •Effective date of document: September 12, 2022.
- •Rates effective from January 1, 2022.
- •Includes procedures like excision, treatment of burns, and cataract removal.
Reason
The document appears to be historical with rates effective from January 1, 2022, making it archival rather than urgent.
open
The document provides updates to the Medicaid fee schedule, specifically for COVID-19 vaccine administration codes, with rates effective from January 3, 2022. It includes details for various doses and booster shots, with consistent rates for facility and non-facility settings.
Highlights
- •COVID-19 vaccine administration codes updated.
- •Rates effective from January 3, 2022.
- •Consistent rates for facility and non-facility settings.
- •Includes doses 1, 2, booster, and reserved.
Reason
The effective date is over 24 months in the past, indicating archival relevance.
Watch items
open
The document provides a fee schedule for podiatry services effective January 1, 2022, with specific rates for various procedures. It includes details on facility and non-facility rates for services like fine needle aspiration and debridement.
Highlights
- •Fee schedule for podiatry services effective January 1, 2022.
- •Includes rates for procedures like fine needle aspiration and debridement.
- •Facility and non-facility rates are specified.
- •CPT codes such as 10004, 10005, 11046, and 11055 are included.
Reason
The document is historical with an effective date over 24 months ago, indicating low urgency for immediate review.
open
The document provides updated Medicaid rates for various procedures, effective from July 1, 2021, with no end date specified. Rates for procedures like COVID-19 antibody tests and metabolic panels are included.
Highlights
- •Rates effective from 7/1/2021 with no specified end date.
- •Includes rates for COVID-19 related tests and metabolic panels.
- •Facility and non-facility rates are identical for listed procedures.
- •No new CPT codes or modifiers introduced.
Reason
The document contains historical rates effective from 2021, with no immediate changes or new effective dates.
open
The document provides updated Medicaid rates for North Carolina hospitals, effective from July 1, 2022, to June 30, 2023. It includes specific DRG base rates for various hospitals and units, with no temporary COVID-19 increases included.
Highlights
- •Effective date: July 1, 2022 - June 30, 2023
- •DRG base rates provided for multiple hospitals
- •No temporary COVID-19 increases included
- •Color-coded text changes indicated
Reason
The document is historical, covering a period that has already passed, and does not indicate any new or upcoming changes.
open
The document includes updates on Medicaid rates for COVID-19 vaccine administration and various craniotomy procedures, with effective dates in 2021 and 2022.
Highlights
- •COVID-19 vaccine administration code 0001a listed with a rate of $65.00, effective 4/1/2021.
- •Craniotomy and skull repair procedures listed with rates effective 1/1/2022.
- •No new effective dates or rate changes beyond 2022 are provided.
Reason
The document contains historical rate information with no new or upcoming changes.
open
The document outlines Medicaid DRG base rates for North Carolina hospitals, effective from July 1, 2022, to June 30, 2023. It includes specific rates for various hospital units and notes that these rates exclude temporary COVID-19 increases.
Highlights
- •Effective date: July 1, 2022 - June 30, 2023
- •Rates exclude temporary COVID-19 increases
- •Includes DRG base rates for multiple hospitals
- •Specific rates for psych and rehab units
Reason
The document is historical, covering a period from 2022 to 2023, and does not indicate any new or upcoming changes.
open
The document provides updated rates for various medical procedures, effective from July 1, 2021, with no end date specified, indicating ongoing applicability. It includes rates for psychiatric and rehabilitation units, as well as specific procedure codes like SARS-CoV-2 tests and metabolic panels.
Highlights
- •Provider types include psychiatric and rehabilitation units.
- •Rates effective from 7/1/2021 with no specified end date.
- •Includes procedure codes for SARS-CoV-2 and metabolic panels.
- •Facility and non-facility rates are identical for listed procedures.
Reason
The document appears to be historical with rates effective from 2021, suggesting no immediate changes requiring urgent review.
open
The document outlines a Medicaid managed care hospital outpatient laboratory fee schedule update, effective from July 1, 2021. Rates are set at 146.38% of the fee-for-service lab fee schedule and are pending CMS approval.
Highlights
- •Rates effective from 7/1/2021.
- •Applies to hospital lab services under managed care.
- •Rates are 146.38% of FFS lab fee schedule.
- •Pending CMS approval.
- •Includes specific CPT codes with rates.
Reason
The document is historical with an effective date over two years ago, and changes are pending approval.
open
The document provides Medicaid reimbursement rates for various medical procedures, effective January 1, 2022. It includes specific rates for procedures like fine needle aspiration and drainage of abscesses.
Highlights
- •Rates effective January 1, 2022.
- •Includes procedures like fine needle aspiration and drainage of abscesses.
- •Facility and non-facility rates provided.
Reason
The effective date is historical, over 24 months old, indicating archival information.
open
The document provides a Medicaid fee schedule effective from April 1, 2022, with rates for various medical services, including cast applications and psychotherapy. The rates are set to remain in effect indefinitely.
Highlights
- •Effective date: 2022-04-01
- •CPT 29075: $45.9 facility, $62.34 non-facility
- •CPT 90847: $83.74 facility, $88.78 non-facility
- •CPT 92507: $24.42 facility, $68.25 non-facility
Reason
The document is historical with an effective date over 24 months ago, indicating low urgency for immediate review.
Watch items