Effective Feb. 1, 2022, provider site visits required for certain moderate and high-risk providers* are valid for five years. Providers must have another site visit conducted after the five-year expiration to maintain enrollment requirements. Public Consulting Group (PCG) will reach out to the provider when a site visit is required.
*Providers are identified as moderate and high risk as outlined in 42 CFR 424.518(c) and NC General Statute 108C-3g. Refer to the Provider Permission Matrix on the Provider Enrollment page of NCTracks for more details.
New Medicaid Bulletins Available
The NC Division of Health Benefits (DHB) has recently published new Medicaid Bulletin articles:
- Sutimlimab-jome Injection, for Intravenous Use (Enjaymo™) HCPCS Code J3590: Billing Guidelines
- One Year Anniversary of New Service to Ensure Communication Access in Health Care Settings
- Nivolumab and Relatlimab-rmbw Injection, for Intravenous Use (Opdualag™) HCPCS Code J9999: Billing Guidelines
- Filgrastim-ayow Injection, for Subcutaneous or Intravenous Use (Releuko®) HCPCS Code J3590: Billing Guidelines
- Ephedrine Hydrochloride Injection, for Intravenous use (Rezipres®) HCPCS code J3490: Billing Guidelines
- Difelikefalin Injection, for Intravenous use (Korsuva™) HCPCS code J0879 - Injection, difelikefalin, 0.1 microgram, (for ESRD on Dialysis): Billing Guidelines
- Healthy Opportunities Housing and Transportation Services Available
Providers are encouraged to review this information. All bulletin articles, including those related to COVID-19, are available on DHB's Medicaid Bulletin webpage.
Request to Encourage Members to Participate in 2022 Provider Survey-Extended Until May 10.
The NCTracks Annual Provider Survey for 2022 is now available! This survey focuses on the aspects of NCTracks* that involve direct customer interaction, such as the call center, provider relations, training and communications, as well as functional areas such as pharmacy prior approval and provider enrollment.
*Please note that this survey is regarding Medicaid Direct via NCTracks only (NOT related to Managed Care/PHPs); please only answer questions in relation to NCTracks.
Unless otherwise noted, the time period for which this survey applies is from July 1, 2021 to present. The survey is anonymous unless you choose to identify yourself.
The survey is open to all NCTracks providers and should only take about 10 minutes to complete. This survey is authorized by the NC Department of Health and Human Services (DHHS) and will be open for responses until May 10, 2022.
We appreciate your participation as we strive to continue to improve our service to providers. Your feedback is valuable to us!
May Provider Training Schedule
Registration is open for the May 2022 instructor-led provider training courses listed below. Slots are limited. NCTracks Zoom courses can be attended remotely from any location with a computer and internet connection. Please note that as of Jan. 1, 2021, training will be conducted through Zoom; individualized meeting information has been created for each course. Please see the Training Enrollment Instructions section below for registration details.
Prior Approval Institutional
Tuesday, May 24, 2022, 9:30 a.m. - 12:00 p.m.
This course shows authorized users how to electronically submit and inquire about prior approvals. After completing this course, authorized users will be able to:
· Submit prior approvals
· Conduct electronic inquiries about prior approvals
Meeting Information
Follow the steps below for audio and visual access to the Zoom online training session:
1. Dial US Toll-Free: 833-568-8864
2. Enter meeting ID: 160 933 3507
3. Press the # key
4. Enter meeting passcode: 160 933 3507
Providers may choose to use the computer audio instead of dialing in.
Submitting an Institutional Claim
Tuesday, May 24, 2022, 1:00 p.m. – 4:00 p.m.
The NCTracks Provider Portal uses the NCID username and password to gain access to a secure online environment for submitting claims. This course will focus on how to submit an institutional claim. At the end of this training, authorized users will be able to:
· Indicate Time Limit Override request using the Delay Reason field on a claim
· Explain the Delay Reason Code
· Attach an Explanation of Benefits (EOB) document to a claim
· Submit a claim
Meeting Information
Follow the steps below for audio and visual access to the Zoom online training session:
1. Dial US Toll-Free: 833-568-8864
2. Enter meeting ID: 160 872 0959
3. Press the # key
4. Enter meeting passcode: 1713304572
Providers may choose to use the computer audio instead of dialing in.
How to Add/Update Credentials for Providers
Wednesday, May 25, 2022, 9:30 a.m. – 12:00 p.m.
This course will show authorized users how to add or update credentials on a provider’s record in NCTracks, including accreditations, certifications and licensure. After completing this course, authorized users will be able to:
· Add/update accreditation
· Add/update certification
· Add/update license
Meeting Information
Follow the steps below for audio and visual access to the Zoom online training session:
1. Dial US Toll-Free: 833-568-8864
2. Enter meeting ID: 160 502 5866
3. Press the # key
4. Enter meeting passcode: 0067809265
Providers may choose to use the computer audio instead of dialing in.
Provider Message Center Inbox
Wednesday, May 25, 2022, 1:00 p.m. – 4:00 p.m.
This course will guide authorized users in using the provider inbox within the Provider Message Center of NCTracks. At the end of this training, authorized users will be able to:
· Navigate within the Provider Message Center
· Search for messages
· Retrieve messages
Meeting Information
Follow the steps below for audio and visual access to the Zoom online training session:
1. Dial US Toll-Free: 833-568-8864
2. Enter meeting ID: 161 897 1961
3. Press the # key
4. Enter meeting passcode: 5619439460
Providers may choose to use the computer audio instead of dialing in.
Prior Approval Medical
Thursday, May 26, 2022, 9:30 a.m. – 12:00 p.m.
This course shows authorized users how to electronically submit and inquire about prior approvals for different kinds of medical services and drugs as well as how to submit managed care referrals and inquire about managed care referrals and overrides. At the end of this training, authorized users will be able to:
· Submit prior approvals and managed care referrals electronically
· Conduct electronic inquiries about prior approvals and managed care referrals and overrides
Meeting Information
Follow the steps below for audio and visual access to the Zoom online training session:
1. Dial US Toll-Free: 833-568-8864
2. Enter meeting ID: 161 896 4577
3. Press the # key
4. Enter meeting passcode: 4768698637
Providers may choose to use the computer audio instead of dialing in.
Submitting a Professional Claim
Thursday, May 26, 2022, 1:00 p.m. – 4:00 p.m.
The NCTracks Provider Portal uses the NCID username and password to gain access to a secure online environment for submitting claims. This course will focus on how to submit a professional claim. At the end of this training, authorized users will be able to:
· Submit a professional claim
· Save a draft
· Use the claims draft search
· Submit a claim
· View results of a claim submission
Meeting Information
Follow the steps below for audio and visual access to the Zoom online training session:
1. Dial US Toll-Free: 833-568-8864
2. Enter meeting ID: 161 235 4433
3. Press the # key
4. Enter meeting passcode: 4427300484
Providers may choose to use the computer audio instead of dialing in.
Training Enrollment Instructions
Providers can register for these courses in SkillPort, the NCTracks Learning Management System. Log onto the secure NCTracks Provider Portal and click Provider Training to access SkillPort. Open the folder labeled Provider Computer-Based Training (CBT) and Instructor Led Training (ILT). The courses can be found in the sub-folder labeled ILTs: Remote via WebEx (although this is the sub-folder name, please note that, as previously mentioned, courses will now be conducted via Zoom and not WebEx).
