Medicaid Providers, Are You Ready for July 1? If Not, Your Payments Could Be Delayed

NCTracks, the new claims system for the N.C. Department of Health and Human Services (DHHS), goes live July 1. It replaces older DHHS claims systems for Medicaid and state-paid mental health, public health and rural health services.

If you are a health care provider who submits claims to DHHS (or through a billing agent), review the checklist on this website to make sure you have done everything necessary. Delay and your payments could be disrupted.

Computer Sciences Corp. (CSC) has begun to pre-note the Electronic Funds Transfer (EFT) information submitted through the Currently Enrolled Provider (CEP) Registration. (For more about the CEP Registration process, see the April 2013 NCTracks Connections Newsletter.   The EFT pre-note process involves submitting transactions to the bank routing code and account number provided in the CEP Registration to confirm that the EFT information provided is accurate.

One zero dollar credit transaction will be submitted to your bank account for each NC DHHS Division for which you are authorized to provide services, including DMA, DMH, DPH, and ORHCC. If you serve recipients of services from more than one Division, you will receive multiple pre-note transactions.

If you have already completed your CEP Registration, there is nothing you need to do at this time. If you have not completed your CEP Registration, please do so right away. If you did not receive a CEP Registration letter in the mail, with an Authorization code to access the CEP application at www.nctracks.nc.gov, please call 1-866-844-1113.

If there is a problem with the EFT pre-note process, a letter will be mailed by CSC to the provider. Claims cannot be paid without accurate EFT information. Claims for a provider with a failed pre-note will suspend for 45 days. If the bank account information is not corrected during that time period, the claims will be denied.

As a reminder, we encourage you to review all of the information you receive from us as it is meant to educate, inform and prepare you for the changes you can expect with the transition from legacy DHHS systems to NCTracks on July 1.

If you have any questions, please feel free to contact OMMISS provider relations at OMMISS.providerrelations@dhhs.nc.gov.

 
 

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