Updated Training for Expanded Eligibility Information

The response to recipient eligibility inquiries was expanded on November 2, 2014, to provide additional information, including the Recipient's Category of Eligibility code (COE) and County Code for each enrollment span included in the eligibility verification response. (The County Code will be returned with the Recipient’s primary Benefit Plan only). The changes are reflected in the response to all forms of recipient eligibility inquiry, including the Automated Voice Response System (AVRS), the secure Provider Portal, and the 270/271 X12 transaction.

As a result of these changes, the provider training materials related to recipient eligibility inquiry have been updated, including:

CBT - RCP 131 Viewing Recipient Information Eligibility Providers
PUG - RCP 131 Recipient Eligibility Verification

Providers can access these updated training materials in SkillPort, the NCTracks Learning Management System. Logon to 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 materials can be found in the sub-folders labeled CBTs and ILT Guides, depending on the format of the training material. Refer to the Provider Training page of the public Provider Portal for specific instructions on how to use SkillPort. The Provider Training page also includes a quick reference regarding Java, which is required for the use of SkillPort.
 
For more information regarding the updates to recipient eligibility inquiry, see the October 17 announcement on the NCTracks Provider Portal.