The Division of Health Benefits (NC Medicaid) issued Special Bulletins COVID-19 #75 & 76, Behavioral Health Service Flexibilities – Innovations and TBI Waivers’ Appendix K and Developmental Disability State-Funded Benefit Plans. These codes were added to Medicaid and State contracts for existing Innovation, TBI, and IDD Providers as outlined below. Providers will be required to utilize the codes/modifiers for any of the service flexibilities that are being provided with service dates starting on and after June 15, 2020. However, the codes are currently active in Alpha, and providers can choose to use the codes prior to June 15, 2020, as their billing systems allow.
Important to Note:
- Providers that will deliver these services via audio/visual to COVID-19 must add both modifiers (GT and CR) to the code when submitting for reimbursement(for codes that have this flexibility).
- If the services are delivered telephonically only, then the provider will only use the CR code (for codes that allow for this flexibility).
Providers that have submitted claims prior to this notification will not be required to resubmit claims at this time. Providers are required to use the GT CR and CR modifiers to COVID related service delivery with claims submitted with dates of service no later than June 15, 2020.
Contract amendments will not be sent out regarding these codes but will be included in your FY21 contracts. Providers can verify codes added to their contracts by reviewing their Alpha set up. If you feel you are missing a code that should be in your contract please contact [email protected] for assistance.
Please direct any questions or concerns to [email protected].
Alliance Health highly recommends that you monitor Provider News and our website daily for any updates regarding provider services. Alliance will update this information as we receive any updates from the State in regards to COVID-19. Please continue to check our COVID-19 resources for providers at alliancehealthplan.org/providers/covid-19-updates-and-resources. Alliance will continue to update this page with resources. In the event that COVID -19 seriously impacts your ability to provide services to our members, please notify Alliance immediately by submitting the Temporary Disruption of Service Delivery form found on our website.