Author: CSRA
Facility providers can now access Sterilization Consent Form status, including denial reasons, on the secure NCTracks Provider Portal.
Once the beneficiary has the surgery and before the surgeon submits the completed sterilization consent form to NCTracks, the surgeon’s NPI must be added to the top-left of the consent form and the beneficiary’s identification number must be added to the top-right of the Sterilization Consent Form. Forms without this information cannot be processed.
For employees of the facility to inquire about the Sterilization Consent Form Status, the facility NPI must be written in the top-center of the consent form upon initial submission. Adding the facility NPI is optional; the consent form will not be denied if this NPI is not included.
Providers can access the Sterilization Consent Form on the U.S. Department of Health & Human Services website.
For more information and instruction for completing the Sterilization Consent Form, providers should refer to Clinical Policy 1E-3, Sterilization Procedures, which can be found on the North Carolina Medicaid Obstetrics and Gynecology Clinical Coverage Policies web page. A Job Aid for the Sterilization Consent Form is also available in Skillport.
Providers with questions can contact the CSRA Call Center at 1-800-688-6696 or NCTracksProvider@nctracks.com.
CSRA, 1-800-688-6696