South Carolina Medicaid Provider Agreement

Once registered as a Carolina Access PCP, providers can inquire about whether they wish to serve as a PCP in NC Medicaid`s Advanced PCCM program, known as Community Care of North Carolina (CCNC). To participate, providers must sign a separate contract with the local ccnc network. Caroline Access PCPs interested in participating in the CCNC program should contact the CCNC network that serves their county. Applicants must meet all program requirements and the qualifications they wish to enroll in before being registered as DHHS providers. The specific qualifications for each type of supplier are indicated in the supplier qualification matrix. If the recipient prefers to choose another CCNC/CA provider, refer them to their local SSD office manager. Healthcare professionals interested in serving as an NC Medicaid Carolina Access PCP must complete an online application that accesses NCTracks. NcTracks Enrollment The registration process includes certification, confirmation and verification of the license. The CSRA Enrollment team conducts this audit to ensure that all suppliers meet professional requirements and are reputable. Once participation is approved as a DHHS provider, suppliers are notified via email and can begin filing claims with NC DHHS for the services provided. The Enrollment Online Application provider is a user-friendly web application that collects all the information necessary to register you as a licensed Medicaid provider in North Carolina. The following information will help you get started with your app.

Read More First Steps with NC Registration DHHS recognizes the need to promote access to procurement by declaring all suppliers on time, and is committed to ensuring the provision of quality service to our citizens. If you have any questions about completing the online registration application, please contact the CSRA Call Centre by phone at 800-688-6696, by fax at 855-710-1965 or by email NCTracksprovider@nctracks.com. Service recommendation requirements do not change for CCNC/CA providers Rules and waivers for providers billed to recipients If you complete an application for registration of individual or organizing providers, you also have the option to enroll in the Carolina Access program as a primary care provider (PCP) if your type of provider allows you to participate. CCNC/CA Eligible Provider Types From the date of service 1. As of November 27, 2016, Community Care of North Carolina/Carolina Access (CCNC/CA) providers are not permitted to enter a National Provider Identifier (NPI) as a CCNC/CA Payment Authorization Number for claims processing. Beneficiaries have the freedom to choose their preferred family doctor. If a beneficiary is registered with another provider, but would like to join your CCNC/CA practice, ask them to complete a CCNC/CA registration form for Medicaid recipients. Send or fax the completed form by mail or fax to the Department of Social Services in the county where the beneficiary resides. NC DHHS Provider Administrative Participation Agreement. Instructions for enrolling your Medicaid patients in community Care of North Carolina/Carolina ACCESS PCPs participating in the CCNC network are paid on a service basis as well as per-month member care management (PMPM) for each assigned beneficiary…