Frequently Asked Questions and Answers - Medicaid Providers
In addition to the NC Medicaid Provider webpage, Medicaid and NC Health Choice providers now have a supplemental resource to research their questions and submit inquiries. The NC Medicaid Help Center is an online source of information about Managed Care, COVID-19 and Medicaid and behavioral health services, and is also used to view answers to questions from the NC Medicaid Help Center mailbox, webinars and other sources. The NC Medicaid Help Center also includes resource documents such as COVID-19 Medicaid Bulletins. To use this new tool:
- Go to the NC Medicaid Help Center
- Type a topic or key words into the search bar; or,
- Select a topic from the available list of Categories
FAQs are listed in categories from questions based on popular topics such as COVID-19, telehealth services, health plan enrollment, provider reimbursement, etc. Based on the entry or selection, the Help Center will return all related information. Providers may also select a topic from the Most-Viewed or Top-Rated articles section as available to find answers. The Help Center is continually updated as new information becomes available.
Questions and answers posed during the Medicaid Transformation webinars will be posted to the Medicaid Managed Care Hot Topics Webinar Series page as they become available for each webinar session.
If, after using the NC Medicaid Help Center, the inquiry remains unresolved, use the below table to direct the question appropriately:
|Question Type||Resource / Phone Number|
|Provider Enrollment in Medicaid or NC Health Choice||
NCTracks Call Center at 800-688-6696.
To update your information, please log into NCTracks provider portal to verify your information and submit a MCR or contact the NCTracks Call Center.
|Provider Contracting Inquiries|
|Provider to PHP Contracting Concerns, or General Complaints||
|Recipient Eligibility, Claims Processing, Billing Questions||
NCTracks Call Center at 800-688-6696 or log into NCTracks provider portal to update your information, submit a claim, review claims status, request a prior authorization or submit a question.