UnitedHealthcareHigh ImpactAdministrative
North Carolina Medicaid: State upholds EVV requirements for PCS providers
Published April 1, 2026Effective March 24, 2026
AI Summary
North Carolina Medicaid upholds Electronic Visit Verification (EVV) requirements for Personal Care Service providers. All PCS encounters must be captured electronically and transmitted through HHAeXchange - claims submitted directly to UnitedHealthcare without EVV data will be denied.
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 PCS encounter data is transmitted through HHAeXchange (not directly to UnitedHealthcare) and verify taxonomy code 251E00000X is used on all claims. Claims without EVV vendor transmission will be denied.
Plan Types
Medicaid
States
NC
Specialties
all-specialties