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Medicaid Expansion National Correct Coding Initiative (NCCI) Edits

Blue Cross Blue Shield of North Dakota (BCBSND) Medicaid Expansion will be following the Medicare National Correct Coding Initiative (NCCI) procedure-to-procedure (PTP) and the medically unlikely edits (MUE) edits for the Medicaid Expansion program starting January 1, 2022. Providers can find more information on the edits within the NDRP-GC-001 Correct Coding Guidelines Policy.

BCBSND will be moving the Medicaid Expansion program claims to the Medicaid NCCI edits later in 2022. To learn more visit the Medicaid National Correct Coding Initiative website. More information on the transition from Medicare to Medicaid NCCI edits for Medicaid Expansion claims will be posted in future news articles.

For additional questions, contact our BCBSND Medicaid Expansion Provider Service Center at 1-833-777-5779 or email prov.partners@bcbsnd.com.