WebJun 11, 2001 · WAG 06-11-01-b. Generally only those medical services and items described in PM Chapter 20 are covered under Medicaid for eligible MANG customers. For Waiver … WebJan 21, 2024 · The Family Planning Medicaid Program, or “BE SMART” program, is designed to reduce unintended pregnancies and improve the well-being of children and families in North Carolina. Family planning/reproductive health and contraceptive services are provided to ... Amendment), with no lapse in services previously provided under the Family ...
Diagnosis code Z11.4 Added to MAFDN - NC
WebDec 22, 2024 · Added MAFDN covered Revenue Codes for use with covered Sterilization procedures for MAFDN beneficiaries. Added clarification that for MAFDN beneficiaries, the only surgical procedure or hospital services allowed requiring outpatient beneficiary … WebFamily Planning Waiver 1115 Waiver Demonstration Extension, Approved March 8, 2024 through June 30, 2024. ... “Florida Medicaid Family Planning Waiver”, for a 5-year period on August 23, 1998 and the program was implemented October 1, 1998. The demonstration was originally implemented to provide a limited Medicaid benefit package of gill ashplant
Eastpointe Claims Department Announcement
WebMEMBERS WITH MAFDN (family planning waiver) MEDICAID ELIGIBILITY On February 21, 2024 a Listserve announcement was sent stating ... MAFDN members to Eastpointe for reimbursement. ... Medicaid Funded Claims Denial Reason Percentage of Total Denials Service is not Authorized 25% Duplicate Claim 21% WebJan 22, 2024 · −NC Medicaid issued permanent updates to the 1E-7, Family Planning Services Policy for “Be Smart” Family Planning Medicaid (MAFDN) beneficiaries on December 1, 2024. Some of these include: •Telehealth services for Established Patient Evaluation and Management (CPT codes 99211-99215) and Consultation Services (CPT … WebClaims for members with MAFDN (family planning waiver) Medicaid eligibility are not covered by Medicaid through MCOs. EFFECTIVE IMMEDIATELY, as instructed by North Carolina Division of Health and Human Services The following Medicaid covered services provided to members with coverage under MAFDN must be billed directly to NCTracks ftwv whv