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17 lip 2024 · - Allow for accurate and complete NC Medicaid and Centers for Medicare and Medicaid (CMS) reporting. The billing guide references requirements to adhere to NC Medicaid Direct and NC Health Choice clinical
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.
the Medicaid ID card, a chart of Medicaid Eligibility program category codes, information on copayments and copayment exemptions, and a summary of all Medicaid coverage programs. See: http://www.ncdhhs.gov/dma/basicmed/index.htm
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.
CHANGE NOTICE FOR MANUAL NO. 02-19, Aged, Blind, And Disabled Medicaid Table Of Contents And Non-Magi Medicaid Income/Reserve Limits. Change Notice. pdf. 24 KB. Open Preview. CHANGE NOTICE FOR MANUAL NO. 02-21, Adult Medicaid Table of Content. Change Notice. pdf.
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.