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)