Archive for the Regulatory Report Category

Comments Due Aug. 24: DMA Clinical Coverage Policy No. 2A-1

The NC Division of Medical Assistance has proposed changes to its Acute Inpatient Hospital Service Clinical Coverage Policy 2A-1. The policy includes proposed changes for reimbursement of behavioral health services provided to patients awaiting an inpatient psychiatric bed when they are admitted as

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DMA Proposes Changes to Acute Inpatient Hospital Service Clinical Coverage Policy

The NC Division of Medical Assistance (DMA) has proposed several changes to its Acute Inpatient Hospital Service Clinical Coverage Policy and to several of its prior approval policies and criteria. Among others, Policy 2A-1. Acute Inpatient Hospital Services includes proposed changes for reimbursement

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Proposed rules of interest to health systems

The NC Department of Insurance is initiating the re-adoption process for rules in Chapter 16 of the Administrative Code, including a section on Health Maintenance Organization Filings and Standards. For more details, see today’s NCHA Regulatory Report. The report also includes, among other

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Notes from the May 30 SHCC meeting

The State Health Coordinating Council (SHCC) met May 30 to establish approval for policies and need methodologies for the Proposed 2019 State Medical Facilities Plan. The three standing committee’s reports were provided. Details from the meeting are in today’s NCHA Regulatory Report.

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SHCC’s Acute Care Services Committee meets to discuss need determinations

The State Health Coordinating Council’s Acute Care Services Committee met recently to review bed need and operating room determinations. More details are in today’s NCHA Regulatory Report. The report also includes brief notes from a May 11 Licensing of Hospitals/Stakeholder Meeting with officials

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Updates from recent SHCC Committee and Medical Care Commission meetings

Attached to today’s CEO email is NCHA’s Regulatory Report, summarizing two recent State Health Coordinating Council (SHCC) committee meetings and two Medical Care Commission meetings.

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Proposed rule changes for hospitals

The Medical Care Commission proposes to adopt by reference the American Society of Healthcare Engineering’s Facility Guidelines Institute for hospital facilities as required by Session Law. See today’s NCHA Regulatory Report for more information including hearing, public comment and effective dates. The report also

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Acute Care and Long Term/Behavioral Health Services Committees meet

The State Health Coordinating Council’s Acute Care Services Committee and Long Term/Behavioral Health Services Committee met in early April to review policies and methodologies, and consider petitions. For details, see the attached NCHA Regulatory Report.

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