North Carolina Medicaid: State upholds EVV requirements for PCS providers
AI Summary
North Carolina Medicaid requires all Personal Care Service (PCS) providers to use Electronic Visit Verification (EVV) through HHAeXchange for data transmission. Claims will be denied if EVV data is not submitted through the approved vendor, and providers must use specific taxonomy code 251E00000X for billing.
Action Required
Immediately: PCS providers must register with HHAeXchange using the North Carolina PHP HHAeXchange Provider Enrollment Form and complete HHAeXchange University training. Billing team must ensure all claims use taxonomy code 251E00000X or claims will be denied. Stop submitting EVV data directly to UnitedHealthcare - all data must go through HHAeXchange vendor. Update billing processes to capture PCS hours using mobile app, telephony, or Fixed Visit Verification device for each service encounter.
Plan Types
Medicaid
States
NC
Specialties
all-specialties