Get the free North Carolina Medicaid ProviderConnect User Guide

This guide provides detailed instructions on how to use the ProviderConnect system for North Carolina Medicaid providers, including logging on, navigating the system, searching for member information,

How to fill out north carolina medicaid providerconnect

How to fill out North Carolina Medicaid ProviderConnect User Guide

1. Visit the North Carolina Medicaid ProviderConnect website.
2. Click on 'Create Account' if you are a new user or 'Login' if you already have an account.
3. Fill in the required information for creating a new account, including your NPI and other details.
4. Verify your email address through the link sent to your email.
5. Login to ProviderConnect using your credentials.
6. Navigate to the 'User Guide' section from the dashboard.
7. Download the North Carolina Medicaid ProviderConnect User Guide.
8. Follow the step-by-step instructions outlined in the guide to utilize ProviderConnect features.

Who needs North Carolina Medicaid ProviderConnect User Guide?

1. Healthcare providers participating in North Carolina Medicaid.
2. Administrative staff managing Medicaid billing and claims.
3. New users seeking to familiarize themselves with the ProviderConnect system.
4. Existing users needing guidance on updates or new features.

People Also Ask about

How much money can you have in the bank on Medicaid in NC?

The medically needy asset limit is $2,000 for an individual and $3,000 for a couple. 2) Asset Spend Down – Persons who have assets over Medicaid's asset limit can still become asset-eligible by “spending down” excess assets on non-countable assets.

What is the website to apply for NC Medicaid?

Apply online through our secure website, ePASS. On the application, NC Medicaid is referred to as “Medical Assistance.” You will need an NCID to begin your application. An NCID is a secure online user ID and password you set up to access many North Carolina government programs, including NC Medicaid.

How do I verify my Medicaid provider eligibility in NC?

NCTracks also offers a Secure Recipient Portal where you can check your eligibility status with Medicaid, Health Choice, Public Health, and the Office of Rural Health and Community Care.

What is going on with Medicaid in North Carolina?

Medicaid expansion, which passed with bipartisan support after years of resistance from most Republicans in the N.C. General Assembly, raised the state's strict income threshold for Medicaid. That opened up the program to many working adults with lower incomes who previously made too much money to qualify.

What is NC Medicaid called now?

North Carolina's Transformation to NC Medicaid Managed Care On July 1, 2021, most Medicaid beneficiaries began receiving the same Medicaid services under NC Medicaid Managed Care. With managed care, beneficiaries choose a health plan and get care through the health plan's network of doctors.

What are the new Medicaid rules in NC?

On December 1, 2023, NC Medicaid expanded to cover people ages 19 through 64 up to 138% of the federal poverty line. That's about $1,800/month for singles and $3,065/month for families of three. NC Medicaid covers most health services.

What is the new income limit 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 are the changes for Medicaid in NC 2025?

Beginning July 1, 2025, NC Medicaid will transition to a new version of the SIS-A for individuals ages 16 and older. Individuals will receive the new version of the assessment at their regularly scheduled time (every three years for the SIS-A).

For pdfFiller’s FAQs

What is North Carolina Medicaid ProviderConnect User Guide?

The North Carolina Medicaid ProviderConnect User Guide is a comprehensive manual that provides instructions and information for healthcare providers on how to use the ProviderConnect portal for Medicaid services.

Who is required to file North Carolina Medicaid ProviderConnect User Guide?

Healthcare providers participating in the North Carolina Medicaid program are required to file and adhere to the guidelines outlined in the North Carolina Medicaid ProviderConnect User Guide.

How to fill out North Carolina Medicaid ProviderConnect User Guide?

To fill out the North Carolina Medicaid ProviderConnect User Guide, users should carefully read each section of the guide, follow the outlined procedures step-by-step, and fill in required information accurately as directed.

What is the purpose of North Carolina Medicaid ProviderConnect User Guide?

The purpose of the North Carolina Medicaid ProviderConnect User Guide is to assist healthcare providers in navigating the ProviderConnect system, ensuring proper documentation, and facilitating efficient billing and claims processing.

What information must be reported on North Carolina Medicaid ProviderConnect User Guide?

The information that must be reported on the North Carolina Medicaid ProviderConnect User Guide includes provider identification details, patient information, service codes, billing amounts, and any additional documentation required for claims submission.