PCS Cost Reports for NC Medicaid Suspended

DMA and the DHHS Controller's Office are suspending mandatory cost reporting effective December 31, 2009, including reports for community based personal care services. See the memo explaining this.

Please note that this is a suspension, not a complete elimination, of the cost reporting requirement, and that reports which were due prior to December 31, 2009 must still be filed. Providers still need to make entries in their accounting records which would enable them to produce cost reports when the cost reporting requirement is reactivated.

Medicaid Announces Public Hearing on Bond Rules

The Department of Health and Human Services, Division of Medical Assistance will hold a public hearing for Medical Assistance Eligibility, Provider Enrollment, Provider Performance Bond rules published January 4, 2010

The public hearing will be held 10:00 a.m., Wednesday, February 17, at Dorothea Dix Campus, Kirby Building room 132 (1985 Umstead Drive, Raleigh, NC 27603).

Verbal comments will be accepted for the following rules:

10A NCAC 22N .0401 – Default
10A NCAC 22N .0402 – Requirement for Provider Performance Bonds 10A NCAC 22N .0403 – Definitions

Concerns should be directed to Teresa Smith, DMA Rule-making Coordinator, by e-mail at Teresa.Smith@dhhs.nc.gov.

What to do:

Providers should study these rules now to determine whether they would be required to post a bond, and, if so, begin making arrangements to be able to do so at the time the Rules go into effect. If you have comments, send them to DMA or attend the Public Hearing to express your views.

NC IAE update

DMA announced in the February 2010 Medicaid Bulletin that the IAE (CCME) has finished the reviews of the PACT forms submitted by the January 8, 2010 deadline, and that the mailing of prior authorization and hours determination letters is being "voluntarily delayed" pending the outcome of the AHHC lawsuit.

Furthermore, DMA plans to begin performing the IAE reassessments in March 2010: "Implementation of independent assessment of all individuals applying for PCS and PCS-Plus and all reassessments and change of status reviews is scheduled for March 2010."