Important Advocacy Update for NC SLPs

NC State Employees Health Plan:

• January 1, 2028 their plan will transition from Aetna back to BCBS of NC

• The NCSHLA VP of Professional and Governmental Affairs has reached out to their HR department-A letter was sent to their team to build awareness regarding the plan transitioning back to BCBS, specifically concerning billing POS 03, 99, not being allowed.  Without their team addressing this issue in their new contract it will make the transition back to BCBS very painful for their employees.

• We will continue to monitor and engage with their team.

MEDICAID AUDITS

Heightened scrutiny in the Medicaid program related to the One Big Beautiful Bill Act (OBBBA) has increased the risk of authorization or payment denials, audits, and recoupments for audiology and speech-language pathology services. Documentation deficiencies are a leading cause of these actions.

Please see this toolkit provided by ASHA:

ASHA Medicaid Toolkit – Preparing for Potential Audits

AUTISM:  ABA Tool Kit-sent to all State Medicaid Agencies (from CMS)  autism-services-aba-toolkit.pdf 

School Based SLPs: ASHA's School SLP Office Hours and the release of the revamped ASHA Workload Calculator is now available 

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