5300 Atlantic Avenue Raleigh, NC 27609. Phone: 919-615-0225 | email: info@guardianhomehealthcare.com

Resources

 

  Public Consultant Group

 

MEDICAID 101

Division of Medical Assistance (DMA) Website

DMA Medicaid and Health Choice Bulletins

NCTracks Website

NCTracks Newsletters

NCMMIS Provider Claims and Billing Assis-tance Guide

North Carolina Medicaid and Health Choice Clinical Coverage Policy

Affordable Care Act

 

 

 

REPORTING PROVIDER CHANGES

NC DHHS Provider Administrative Participation Agreement

Managed Change Request FAQs

NCTracks Secure Provider Portal

Provider Enrollment Application FAQs

 

 

BENEFICIARY ELIGIBILITY

NCTracks Automated Voice
Response System (AVRS) 
  1-800-723-4337

Electronic Data Interchange
1-800-688-6696

NCTracks Secure Provider Portal

Local DSS Offices 

 

 

PRIOR APPROVAL

North Carolina Medicaid and Health Choice Clinical Coverage Policy 

NCMMIS Provider Claims and Billing Assistance Guide

NCTracks Secure Provider Portal

 

NCTracks Automated Voice Response System 
1-800-723-4337

Prior Approval Process (DMA)

NCTracks Prior Approval Fact Sheet

Prior Approval Request Forms (NCTracks)

Early and Periodic Screening, Diagnosis and Treatment 

 

 

 


CLAIMS SUBMISSION

Claims Submission (NCTracks)  

NCMMIS Provider Claims and Billing Assistance Guide

ICD-10 Codes (NCTracks)

 

 

 

FRAUD, WASTE AND ABUSE

Provider Self-Audit Packets

Online Fraud Complaint Form

DHHS Customer Service  Center
1-800-662-7030

Health Care Financing
Administration Office of Inspector General’s Fraud Line: 1- 800 447-8477

Medicaid
Fraud, Waste and Program Abuse Tip-Line 
1-877-362-8471

State Auditor’s Waste Line

1-800-730-8477

Ombudsmen Contact Information for All NC

http://www.tjcog.org/carmelita-karhoff.aspx

 

 

MED AIDE & NURSE AIDE for All NC

Adult Care Home Medication Aide and Nurse Aide Online Verification

 

 

 

 

BOARD OF NURSING for All NC

NCBON Website

NC Board of Nursing Online Verification

Liberty Healthcare Management

QiRePort

 

 

 

PROVIDER REGISTRATION FORMS

Provider Registration For PCS Agency or Facility Use of QiRePort

REQUEST FOR INDEPENDENT ASSESSMENT FOR PERSONAL CARE SERVICES (PCS)
– ATTESTATION OF MEDICAL NEED

Forms For Medicaid Personal Care Services (PCS)

 

 

 

 

 

Medicare

 

 

Centers for Medicare & Medicaid Services

U.S. Department of Health & Human Services

 

 

Homecare & Hospice

American Heart Association

 

www.seniorjournal.com

 

 

 

AARP HEALTH RESEARCH

 

American Diabetes Association

 

 

NCTracks Website

 

 

NCMMIS Provider Claims and Billing Assis-tance Guide

North Carolina Medicaid and Health Choice Clinical Coverage Policy

 

 

 

Division of Medical Assistance (DMA) Website

 

Provider Enrollment Application FAQs

 

American Cancer Society

 

 

 

Provider Enrollment Application FAQs

 

 

Affordable Care Act

 

 

 

 

 

 

 

Medicare

American Health Care Association

Homecare & Hospice

Centers for Medicare & Medicaid Services

American Heart Association

U.S. Department of Health & Human Services

www.seniorjournal.com

 

www.cdc.gov

American Cancer Society

American Diabetes Association

AARP

Medicare

www.cancer.gov

Homecare & Hospice

www.cahsah.org

American Heart Association

American Diabetes Association

www.seniorjournal.com

California Association for Health Services at Home

 

American Health Care Association

 

Resources For Seniors

Centers for Medicare & Medicaid Services

The AGS Foundation for Health in Aging

U.S. Department of Health & Human Services

 

Home Health Nurses Association

www.cdc.gov

Home Care & Hospice Facts & Stats

 California Association for Health Services at Home

ONCOLINK – Consumer information on cancer

American Cancer Society

AARP HEALTH RESEARCH

The AGS Foundation for Health in Aging

Home Health Nurses Association

Social Security Administration

Home Care & Hospice Facts & Stats

 

ONCOLINK – Consumer information on cancer

WebMD 

AARP HEALTH RESEARCH

American Cancer Society

www.cancer.gov

AARP

www.cahsah.org

Social Security Administration

WebMD 

Resources for seniors

 Medicaid

Medicaid 101