North Carolina Medicaid: State upholds EVV transmission requirements
AI Summary
North Carolina Medicaid home health providers must complete dual submissions for encounter visits: transmit EVV data to HHAeXchange AND submit claims to UnitedHealthcare. EVV service codes must exactly match prior authorization and claim submissions, and providers must use taxonomy code 251E00000X or claims will be denied.
Action Required
Immediately: Home health billing team must implement dual submission process - transmit EVV data to HHAeXchange AND submit claims to UnitedHealthcare for every encounter. Verify EVV service codes exactly match prior authorization approvals and claims. Update billing system to require taxonomy code 251E00000X for all home health claims. Use UnitedHealthcare Community Plan crosswalk for appropriate service type, revenue code and HCPCS/CPT codes. Monitor HHAeXchange import status and resolve failures promptly. Claims using incorrect taxonomy codes will be denied.
Plan Types
Medicaid
States
NC
Specialties
physical-therapy, occupational-therapy