North Carolina Medicaid: State upholds EVV transmission requirements
AI Summary
North Carolina Medicaid upholds Electronic Visit Verification (EVV) transmission requirements for home health providers. Providers must transmit EVV data to HHAeXchange AND submit claims to UnitedHealthcare for each encounter, with specific matching requirements for service codes and taxonomy codes.
Action Required
Immediately: Home health billing teams must ensure two-step compliance for all NC Medicaid encounters: (1) Transmit EVV data to HHAeXchange with service codes that exactly match prior authorization and claim submissions, (2) Submit claims using taxonomy code 251E00000X or claims will be denied. Use UnitedHealthcare Community Plan crosswalk for appropriate service type, revenue code, and HCPCS/CPT codes. Monitor HHAeXchange visit import status and resolve failures promptly.
Plan Types
Medicaid
States
NC
Specialties
all-specialties