North Carolina Medicaid Provider Manual. Provider manual (PDF) This manual will help you and Contact In

Provider manual (PDF) This manual will help you and Contact Information NC Medicaid, Division of Health Benefits 2501 Mail Service Center Raleigh, NC 27699-2501 NC Medicaid Contact Center Phone: 888-245-0179 Monday-Friday 8 a. Welcome to the North Carolina Department of Health and Human Services’ repository for manuals, policies, procedures and forms! The enclosed provider manual is your guide to working with us. We hope you find it a useful resource, and the areas highlighted to the right are sections of the manual that directly address our mutual goal TABLE OF CONTENTS WELLCARE OF NORTH CAROLINA HEALTH PROVIDER MANUAL REVISIONS --- 7. These updates aim to enhance clarity and provide flexibility for providers. m. We understand that maintaining Manuals and guides AmeriHealth Caritas North Carolina offers these reference materials to our providers for use when treating our members. Information and Resources on Hurricane Helene For North Carolina residents and visitors impacted by Hurricane Helene. Go Now This manual serves as a guide to the policies and procedures governing the administration of WellCare’s Medicaid plan and is an extension of and supplements the Provider Providers who wish to contract with a Prepaid Health Plan (PHP), including Blue Cross NC, must be enrolled with North Carolina Medicaid via NCTracks prior to being considered a participating provider Although NC Medicaid Provider Enrollment considers specific requests for retroactive effective dates of enrollment, providers are not guaranteed a retroactive effective date and are Section I: Introduction As North Carolina transitions its Medicaid program from a predominantly fee-for-service delivery system to managed care, the North Carolina Department of NC Medicaid has released updates to the January Tailored Care Management (TCM) Provider Manual. 91 PROVIDER RESOURCE GUIDE Please see below for NCDHHS provider resources, key contacts, and steps you can take to prepare for the transition to Medicaid Managed Care, and how you can assist Section I: Introduction As North Carolina transitions its Medicaid program from a predominantly fee-for-service delivery system to managed care, the North Carolina Department of Medicaid Providers Overview & Resources WellCare of North Carolina partners with providers to develop and deliver high-quality, cost-effective health care solutions. Securely download your document with other editable templates, any Quality Assessment and Performance Improvement Program Scope and Goals . Welcome to the North Carolina Department of Health and Human Services’ repository for manuals, policies, procedures and forms! modify this provider manual. Fact sheets, guides and materials to help providers transition to NC Medicaid Welcome to the North Carolina Department of Health and Human Services’ repository for manuals, policies, procedures and forms! Section I: Introduction As North Carolina transitions its Medicaid and NC Health Choice programs from a predominantly fee-for-service delivery system to managed care, the North Carolina Do whatever you want with a 2024–2025 Wellcare of North Carolina Medicaid Provider Manual: fill, sign, print and send online instantly. Section I: Introduction m a predominantly fee-for-service delivery system to managed care, the North Carolina Department of Health and Human Services (the Department) is focused on State of North Carolina Department of Health and Human Services Division of Health Benefits 2025 State Submission Table of Contents Visit the Medicaid Bulletin webpage for the latest information for providers serving NC Medicaid beneficiaries. 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. These updates aim to enhance clarity NC Medicaid has released updates to the January Tailored Care Management (TCM) Provider Manual. Contracted providers must acknowledge this provider manual and any other written materials provided by Blue Cross NC or Wellpoint Partnership Plan, LLC as manual is Contact Information NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000 Customer Service Center: 1-800-662 This manual document information about Alliance including our purpose, mission, vision, and core values and describes our processes related to participating in the provider network including Practitioner Right to Appeal or Reconsideration of Adverse Credentialing Decisions ---------------------------14 Click the following link to view the Provider Manual Partners Tailored Plan Provider Manual outlines the requirements and responsibilities of providers in the Partners’ Network.

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