Get the free Basic Medicaid and NC Health Choice Billing Guide - ncdhhs

This document serves as a billing guide for the NC Health Choice Program, detailing eligibility criteria, program administration, coverage policies, claims processes, and contact information for recipients

How to fill out basic medicaid and nc

How to fill out Basic Medicaid and NC Health Choice Billing Guide

1. Gather necessary patient information including name, date of birth, and Medicaid ID number.
2. Ensure you have the correct billing guide for Basic Medicaid and NC Health Choice.
3. Fill out the patient demographics section accurately.
4. Enter the procedure codes corresponding to the services provided.
5. Complete the diagnosis codes section with relevant information.
6. Include the date of service for each procedure.
7. Itemize any charges related to the medical services provided.
8. Ensure you include any required supporting documentation.
9. Review the completed billing guide for accuracy before submission.
10. Submit the billing guide to the appropriate Medicaid or health choice authority.

Who needs Basic Medicaid and NC Health Choice Billing Guide?

1. Healthcare providers who offer services to patients enrolled in Basic Medicaid or NC Health Choice.
2. Billing specialists working in healthcare facilities that process Medicaid claims.
3. Anyone responsible for submitting claims for reimbursement under these programs.

People Also Ask about

What is changing about Medicaid, NC?

In December 2023, North Carolina became the 40th state to expand eligibility for Medicaid, opening up the government-funded health insurance program to low-income adults who previously made too much money to qualify.

Does NC Medicaid check your bank account?

Annual Renewals: Medicaid beneficiaries must renew their eligibility every year. This process often includes submitting updated financial information. Medicaid will review your bank statements to ensure you meet the financial requirements.

What is the difference between NC Medicaid and NC Medicaid Direct?

NC Medicaid Direct is North Carolina's health care program for NC Medicaid beneficiaries who are not enrolled in NC Medicaid Managed Care. It includes care management by Community Care of North Carolina (CCNC), the primary care case management entity for physical health services.

What is the highest income to qualify for Medicaid in NC?

Under the expanded eligibility guidelines, Medicaid is available in North Carolina to a single adult with annual income up to about $20,782 in 2024 (this is 138% of the federal poverty level), and to adults in a family of three with a household income up to about $35,631/year.

What is NC Health Choice Medicaid?

North Carolina's children's health insurance plan "NC Health Choice" will cover children from low-income families that still earn too much to qualify for Medicaid. Who is eligible for NC Health Choice: The child's income must exceed the income limit for Medicaid.

Do you have to pay Medicaid back in North Carolina?

If certain criteria are met, Medicaid can seek repayment of services after a recipient has died. If the recovery of Medicaid funds would cause undue hardship to certain individuals, such as surviving spouses, minor children, or disabled children, the state may exempt or delay the recovery.

What are the new Medicaid rules in NC?

The Medicare and Medicaid billing process refers to the method for health care providers to submit claims for reimbursement of services provided to eligible beneficiaries. It's highly regulated and complex, as different rules and requirements apply to each program.

For pdfFiller’s FAQs

What is Basic Medicaid and NC Health Choice Billing Guide?

The Basic Medicaid and NC Health Choice Billing Guide is a comprehensive document that outlines the billing procedures and requirements for healthcare providers offering services under Basic Medicaid and the NC Health Choice program in North Carolina.

Who is required to file Basic Medicaid and NC Health Choice Billing Guide?

Healthcare providers who deliver services to beneficiaries of Basic Medicaid and NC Health Choice must file the Billing Guide to ensure compliance with state regulations and receive reimbursement for their services.

How to fill out Basic Medicaid and NC Health Choice Billing Guide?

To fill out the Basic Medicaid and NC Health Choice Billing Guide, providers must complete the specified forms with accurate patient information, service codes, and billing details as outlined in the guide, ensuring adherence to formatting and documentation standards.

What is the purpose of Basic Medicaid and NC Health Choice Billing Guide?

The purpose of the Basic Medicaid and NC Health Choice Billing Guide is to serve as an authoritative resource for billing procedures, ensuring that healthcare providers understand the requirements for submitting claims and receiving payment for services rendered to eligible individuals.

What information must be reported on Basic Medicaid and NC Health Choice Billing Guide?

The information that must be reported on the Basic Medicaid and NC Health Choice Billing Guide includes patient demographics, service dates, procedure codes, diagnosis codes, and provider identification, among other relevant details necessary for claims processing.