Get Ach Enrollment Form - Pdf - Community Care Of North Carolina - Communitycarenc

ePASS is North Carolina's secure self-service website where you can apply for benefits, view case details, renew your Medicaid, and update your information online. Sign up today for an Enhanced ePASS account. Go to epass.nc.gov. You can also visit or call your local DSS to check your information or report changes.

Stands for Community Care of North Carolina/Carolina ACCESS. • It is North Carolina's Medicaid special health care plan. • CCNC/CA has helped many people find a primary doctor.

One method of verifying Medicaid eligibility is the "automated voice response system." States can offer either CHIP "stand-alone" or "Medicaid expansion" options or a combination of the two. Eligible pregnant women fall into the "categorically needy" category.

The Request to Move to NC Medicaid Direct or LME/MCO: Provider Form can be submitted online at ncmedicaidplans.gov/submit-forms-online or by calling the Enrollment Broker at 833-870-5500 (TTY: 711 or RelayNC.com) to request a downloadable version that can be mailed or faxed.

A North Carolina Medicaid prior authorization form is a document used by North Carolina-based medical professionals to request Medicaid coverage for a non-preferred drug. On the form, the person making the request must provide the medical justification for not prescribing a drug from the Preferred Drug List.

If you don't receive your Medicaid card, or if you lose your card, call Member Services at 1-855-375-8811 (TTY 1-866-209-6421)....Your Medicaid card will have: Your primary care provider's (PCP's) name and phone number. Your Medicaid identification number. Information on how you can contact us if you have any questions.

Verify eligibility, health plan and primary care provider enrollment using the NCTracks Recipient Eligibility Verification/Response or calling the NCTracks Call Center for more information: 800-688-6696.

Specific qualifications for each provider type are listed in the Provider Permission Matrix. If you have any questions regarding completion of the Provider Enrollment Online Application, please contact the CSRA Call Center by phone—800-688-6696, fax—855-710-1965, or email—NCTracksprovider@nctracks.com.