The recently adopted NC Operations Appropriations Act of 2021 includes funds to give a one-time bonus for eligible direct care workers (DCWs) and support staff who provided services to Medicaid and NC Health Choice beneficiaries from March 10, 2020 through August 1, 2021.
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Under the Medicaid Bulletin outlining the program’s requirements, 1/24/22 at 5:00 pm was originally the deadline for “Providers [to] identify and notify all employees of...
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CMS has updated the COVID-19 Public Health Emergency 1135 Blanket Waiver on 11/29/21.
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Due to the COVID-19 Public Health Emergency (PHE) and to expedite a hospital’s ability to discharge patients to lower levels of care when medically appropriate.
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NCHCFA has prepared a tool for their member facilities to use in calculating their Medicare PDPM rates.
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Due to the COVID-19 Public Health Emergency (PHE) and to expedite a hospital’s ability to discharge patients to lower levels of care when medically appropriate.
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The NC Medicaid program has announced a temporary suspension of prior authorizations (PA) for new nursing home admissions who are being directly discharged from a hospital.
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The NC Medicaid program has announced a temporary suspension of prior authorizations (PA) for new nursing home admissions who are being directly discharged from a hospital.
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On October 1st, the nursing facility Medicaid rate will reflect several changes.
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On October 1st, the nursing facility Medicaid rate will reflect several changes.
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The NC Medicaid program has announced a temporary suspension of prior authorizations (PA) for new nursing home admissions who are being directly discharged from a hospital.
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The NC Medicaid program has announced a temporary suspension of prior authorizations (PA) for new nursing home admissions who are being directly discharged from a hospital.
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The Administrator’s vision is for CMS to serve the public as a trusted partner and steward, dedicated to advancing health equity, expanding coverage, and improving health outcomes.
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The NC Medicaid program has announced a temporary suspension of prior authorizations (PA) for new nursing home admissions who are being directly discharged from a hospital.
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The NC Medicaid program has announced a temporary suspension of prior authorizations (PA) for new nursing home admissions who are being directly discharged from a hospital.
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Newly released Medicaid bulletin.
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The Centers for Medicare & Medicaid Services (CMS) has the authority to adjust payments (payment offsets) to affiliated providers and suppliers on the basis of their tax ID number regardless of their billing number, NPI number, internal organizational structure or physical location.
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Newly released Medicaid bulletin.
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The Centers for Medicare & Medicaid Services (CMS) has the authority to adjust payments (payment offsets) to affiliated providers and suppliers on the basis of their tax ID number regardless of their billing number, NPI number, internal organizational structure or physical location.
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Newly released Medicaid bulletin.
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A skilled nursing facility (SNF) consolidated billing webinar has been scheduled by the Centers for Medicare & Medicaid Services (CMS) and Palmetto GBA at 11:00 ET on June 29, 2021.
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The Centers for Medicare & Medicaid Services (CMS) has the authority to adjust payments (payment offsets) to affiliated providers and suppliers on the basis of their tax ID number regardless of their billing number, NPI number, internal organizational structure or physical location.
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Newly released Medicaid bulletin.
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A skilled nursing facility (SNF) consolidated billing webinar has been scheduled by the Centers for Medicare & Medicaid Services (CMS) and Palmetto GBA at 11:00 ET on June 29, 2021.
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The Centers for Medicare & Medicaid Services (CMS) has the authority to adjust payments (payment offsets) to affiliated providers and suppliers on the basis of their tax ID number regardless of their billing number, NPI number, internal organizational structure or physical location.
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Newly released Medicaid bulletin.
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Newly released Medicaid bulletin.
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On November 6th the Centers for Medicare and Medicaid Services (CMS) posted a change request transmittal CR11992 that updates the skilled nursing facility (SNF) Patient-Driven Payment Model (PDPM) claims processing instructions for claims that contain both covered and noncovered days.
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The Centers for Medicare & Medicaid Services (CMS) hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19.
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Register today for You Asked For It: Top 10 North Carolina Reimbursement Concerns with speaker Becky Hewitt, Reimbursement Specialist with Hall Booth Smith, P.C.
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Register today for You Asked For It: Top 10 North Carolina Reimbursement Concerns with speaker Becky Hewitt, Reimbursement Specialist with Hall Booth Smith, P.C.
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NCHCFA has scheduled our virtual Financial Summit for November 4, 5, 10, and 11, 2020. This conference focuses on topics having a direct connection to...
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NCHCFA has scheduled our virtual Financial Summit for November 4, 5, 10, and 11, 2020.
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NCHCFA has scheduled our virtual Financial Summit for November 4, 5, 10, and 11, 2020.
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NCHCFA has scheduled our virtual Financial Summit for November 4, 5, 10, and 11, 2020.
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NCHCFA has scheduled our virtual Financial Summit for November 4, 5, 10, and 11, 2020.
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NCHCFA has scheduled our virtual Financial Summit for November 4, 5, 10, and 11, 2020.
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NCHCFA has scheduled our virtual Financial Summit for November 4, 5, 10, and 11, 2020.
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Changes are being implemented to the rate letter notification process being utilized to advise providers of traditional Medicaid base rates, and the status of facility-specific COVID-19 Outbreak and Response Facility rates.
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For the past several months, we have been publishing articles detailing the financial assistance available for nursing facilities.
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Starting on August 20th, the live COVID-19 webinar series will transition to a pre-recorded, self-paced format.
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As we indicated August 11th, NC DHHS released guidance on Secretary Cohen’s recent staff testing mandate.
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As we indicated August 11th, NC DHHS released guidance on Secretary Cohen’s recent staff testing mandate.
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Back by popular demand! Join us and presenter, Robin Hillier, CPA, STNA, LNHA, RAC-CT, President of RLH Consulting for the provider’s perspective of the MDS 3.0 changes and updates.
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NCHCFA presents MDS 3.0 – What Every Facility Needs to Know – From a Provider’s Perspective with speaker Robin Hiller, President of RLH Consulting.
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NCHCFA presents MDS 3.0 – What Every Facility Needs to Know – From a Provider’s Perspective with speaker Robin Hiller, President of RLH Consulting.
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The Centers for Medicare & Medicaid Services (CMS) will host their next skilled nursing facilities (SNF)/long term care (LTC) open door forum (ODF) on Thursday, August 6th at 2:00 PM – 3:00 PM ET.
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The ninth annual Summer Symposium originally scheduled for August 5-7, 2020 at the Embassy Suites Resort at Kingston Plantation, Myrtle Beach, SC will now be held virtually.
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Registration is now open for the 9th Annual Summer Symposium!
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The Effects of Social Isolation on Those Living with Dementia will be presented by Teepa Snow, MS, OTR/L, FAOTA.
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Registration is open for the 9th Annual Summer Symposium!
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Register here today for the 9th Annual Summer Symposium!
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Register here today for the 9th Annual Summer Symposium!
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Register here today for the 9th Annual Summer Symposium!
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If you missed Understanding the Medicaid Application Process & It's Impact on Cash Flow Part One and Part Two - you may now watch them on demand.
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If you missed Understanding the Medicaid Application Process & It's Impact on Cash Flow Part One and Part Two - you may now watch them on demand.
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The ninth annual Summer Symposium originally scheduled for August 5-7, 2020 at the Embassy Suites Resort at Kingston Plantation, Myrtle Beach, SC will now be held virtually.
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The ninth annual Summer Symposium originally scheduled for August 5-7, 2020 at the Embassy Suites Resort at Kingston Plantation, Myrtle Beach, SC will now be held virtually.
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The Social Security Administration recently issued an update that beneficiaries who have their regular monthly payments managed for them by another person, called a representative payee, will begin receiving their economic impact payments (EIPs) from the IRS in late May.
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The updated List of Excluded Individuals and Entities (LEIE) database file, which reflects all OIG exclusions and reinstatement actions up to, and including, those taken in April 2020 has been posted.
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The Minimum Data Set (MDS) is the foundation for resident care planning in long term care, but it is also used to generate reimbursement rates under Medicare Part A and the North Carolina Medicaid program.
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The Minimum Data Set (MDS) is the foundation for resident care planning in long term care, but it is also used to generate reimbursement rates under Medicare Part A and the North Carolina Medicaid program.
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The Minimum Data Set (MDS) is the foundation for resident care planning in long term care, but it is also used to generate reimbursement rates...
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The Minimum Data Set (MDS) is the foundation for resident care planning in long term care, but it is also used to generate reimbursement rates under Medicare Part A and the North Carolina Medicaid program.
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The Minimum Data Set (MDS) is the foundation for resident care planning in long term care, but it is also used to generate reimbursement rates under Medicare Part A and the North Carolina Medicaid program.
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If you missed Managing Reimbursement and Quality Metrics three-part webinar series with speaker Robin Hillier - you may now purchase and watch them on-demand.
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If you missed Managing Reimbursement and Quality Metrics three-part webinar series with speaker Robin Hillier - you may now purchase and watch them on-demand.
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If you missed Managing Reimbursement and Quality Metrics three-part webinar series with speaker Robin Hillier - you may now purchase and watch them on-demand.
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If you missed Managing Reimbursement and Quality Metrics three-part webinar series with speaker Robin Hillier - you may now purchase and watch them on-demand.
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NC Medicaid, throughout the COVID crisis, has released numerous special bulletins concerning waivers, clarifications, rate modifications and others.
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Expedited Hardship Advances and Retroactive Targeted Rate Increases for Skilled Nursing Facilities and Adult Care Homes Serving COVID-positive Patients.
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In response to the COVID-19 pandemic, the COVID-19 Recovery Act (North Carolina Session Law 2020-3) was signed into law by Governor Roy Cooper on May 4, 2020.
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The federal government has added an attestation portal to the CARES Act Provider Relief Fund website.
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Near the end of March, NC Medicaid announced a 5% rate enhancement to the Medicaid rate due to the COVID crisis.
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NCHCFA continues to work with NC Medicaid on additional funding.
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As a reminder, State law requires that all skilled nursing facilities that receive any state funds for the provision of health care services (e.g. Medicaid, Healthchoice, State Health Plan, etc.) connect and submit patient demographic and clinical data to NC HEALTHCONNEX by June 1, 2020.
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As a replacement for our in-person education seminars due to COVID-19, NCHCFA will begin our distant learning education next month.
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As a replacement for our in-person education seminars due to COVID-19, NCHCFA will begin our distant learning education next month. Join us for our upcoming virtual seminar, Understanding the Medicaid Application Process & It’s Impact on Cash Flow.
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As a replacement for our in-person education seminars due to COVID-19, NCHCFA will begin our distant learning education next month.
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As a replacement for our in-person education seminars due to COVID-19, NCHCFA will begin our distant learning education next month.
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As a replacement for our in-person education seminars due to COVID-19, NCHCFA will begin our distant learning education next month.
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As a replacement for our in-person education seminars due to COVID-19, NCHCFA will begin our distant learning education next month.
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The NC Division of Health Benefits (DHB) has published two more Medicaid Bulletin articles related to COVID-19:
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NC Medicaid has created an expedited hardship payment advance process for nursing facilities caring for COVID-19 positive residents.
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Recently, CMS released guidance to states on Medicaid-related COVID-19 issues.
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Recently, we have received several calls from providers concerned that funds were unexpectedly recouped from their most recent Medicaid checkwrite.
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With visitation restrictions in place, several providers have had questions on the use of electronic signatures for Medicaid purposes.
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The Centers for Medicare & Medicaid Services (CMS) is delaying the Minimum Data Set (MDS) 3.0 v1.18.1 release, which had been scheduled for October 1, 2020, in response to stakeholder concerns.
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In keeping with CMS guidance restricting visitors in nursing facilities, due to the continuing threat of COVID-19, NC Medicaid has made the decision to suspend MDS validation reviews through the end of April.
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There is a process through which providers can request a hardship advance from the state.
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The implementation of the Patient-Driven Payment Model (PDPM) seemed to go fairly smoothly, until providers started submitting claims.
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Palmetto GBA will host the Part A Ask the Contractor Teleconference (ACT) on Thursday, February 13, 2020, at 11:00 AM ET.
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If you were unable to participate on the AHCA/NCAL webinar on the Medicaid Fiscal Accountability Proposed Regulation recently released by the Centers for Medicare and Medicaid Services (CMS) this week, a recording of the webinar is available here.
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The updated List of Excluded Individuals and Entities (LEIE) database file, which reflects all OIG exclusions and reinstatement actions up to, and including, those taken in November 2019 has been posted.
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The Fair Rental Value (FRV) Medicaid rate component pays providers for their building, land and equipment.
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The updated List of Excluded Individuals and Entities (LEIE) database file, which reflects all OIG exclusions and reinstatement actions up to, and including, those taken in December 2019 has been posted.
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On Nov. 18, 2019, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule entitled Medicaid Fiscal Accountability Proposed Rule that would significantly impact the nation’s Medicaid program.
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Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) initial claims that are processed out of sequence are not paying the correct Variable Per Diem (VPD)-adjusted rate.
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The updated List of Excluded Individuals and Entities (LEIE) database file, which reflects all OIG exclusions and reinstatement actions up to, and including, those taken in February 2020 has been posted.
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The North Carolina Department of Health and Human Services yesterday announced that managed care implementation and open enrollment for NC Medicaid must be suspended.
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NCHCFA proudly presents MDS and Beyond- Managing Reimbursement and Quality Metrics scheduled in two different locations: March 17th in Raleigh, NC and March 19th in Asheville, NC.
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NCHCFA proudly presents MDS and Beyond- Managing Reimbursement and Quality Metrics scheduled in two different locations: March 17th in Raleigh, NC and March 19th in Asheville, NC.
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NCHCFA proudly presents The MDS and Beyond scheduled in two different locations: March 17th in Raleigh, NC and March 19th in Asheville, NC.
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Following the reports that COVID-19 is spreading, we feel it is necessary for NCHCFA to cancel the MDS and Beyond Seminars next week in Asheville and Raleigh as well as Regulatory Basics in Long Term Care 3-day program March 31-April 2 in Durham.
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This is a reminder that NCHCFA has cancelled MDS and Beyond seminars that were scheduled this week as well as Regulatory Basics in Long Term Care program March 31-April 2 in Durham.
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Yesterday, the Centers for Medicare & Medicaid Services (CMS) posted the long awaited claims processing, benefit policy and entitlement manual updates for Patient-Driven Payment Model (PDPM) implementation.
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Change Request (CR) 11513 contains updates to handle Veterans Administration (VA) demonstration claims under the SNF Patient Driven Payment Model (PDPM).
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The new SNF PPS SYSTEM, PDPM, will cover all SNF Medicare days starting on October 1, 2019. PDPM requires an acceptable ICD-10 diagnosis code to...
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The transition to Medicaid managed care in North Carolina has been planned for several years. However, it was announced yesterday that due to the lack of a state budget, the implementation of Medicaid managed care would be delayed.
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