This bulletin applies to NC Medicaid Direct and NC Medicaid Managed Care.
This bulletin serves as a reminder regarding the appropriate use of Modifier CR (Catastrophe/Disaster Related) on claims submissions.
Modifier CR should only be appended to procedure codes when services are directly related to a Federal or State-declared emergency or disaster event. The use of this modifier must align with official guidance and direction issued through NC Medicaid communications.
Providers are expected to ensure that:
- Modifier CR is used exclusively during an active, declared emergency or disaster period.
- Its application is consistent with NC Medicaid instructions specific to the event.
- Claims submitted with Modifier CR outside of these circumstances are not appropriate and may be subject to denials or further review.
We encourage all providers to regularly review NC Medicaid Provider Bulletins for updates and guidance related to emergency events and billing requirements.
Thank you for your continued partnership and commitment to accurate claims submission.
Contact
NCTracks Call Center: 800-688-6696
Provider Ombudsman: 866-304-7062