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3 lis 2022 · The new website offers enhanced search options for fee schedules, covered procedure codes and covered revenue code data. These enhancements include: Fee Schedules – (NC Medicaid Website Fee Schedules Only) Fee schedules are available in a formatted, standardized template
24 kwi 2024 · The North Carolina Medicaid program requires providers to file claims electronically (with some exceptions) using the NCTracks claims processing and provider enrollment system. For billing information specific to a program or service, refer to the Clinical Coverage Policies.
17 lip 2024 · The Health Plan shall require providers to use CPT Code 96110 and EP modifier when conducting a general developmental or an Autism Spectrum Disorder screen. Additional information on developmental screening can be found in the Health Check Program Guide (NC Medicaid: Health Check and EPSDT (ncdhhs.gov)). 3.2 Care Management Payments
PROVIDER PORTAL. NaviNet: 1-888-482-8057. Log on to https://register.navinet.net for web-based solutions for electronic transactions and information. PRIOR AUTHORIZATIONS/NOTIFICATIONS. Emergency: Prior authorization is not required for emergency services when a member seeks emergency care.
The following policies, manuals, guidelines, and forms are intended to assist providers in billing for services covered under one or more of the NC DHHS divisions supported by NCTracks. Refer to the following links for coverage information and policy guidance.
Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Certain administrative services for Healthy Blue are provided by Amerigroup Partnership Plan, LLC pursuant to an administrative services agreement. References to Blue
DHB ADMINISTRATIVE LETTER NO: 14-23, DHB-2187, Notice Of Potential Change in Medicaid Eligibility/ Breast and Cervical Cancer Medicaid (BCCM) And Family & Children’s Medically Needy/Medical Forced Eligibility (MAF/MFE)
