Special Medicaid Bulletin re: Attending, Rendering, Ordering, Prescribing, and Referring Providers

A Special Medicaid Bulletin has been published on the DMA website. The bulletin contains important information regarding the requirement for attending, rendering, ordering, prescribing, and referring providers to be enrolled in NCTracks. (See link below.)

DMA Medicaid Bulletin webpage

In addition, a list of Frequently Asked Questions (FAQs) regarding the enrollment of attending, rendering, ordering, prescribing, and referring providers has been posted under Quick Links on the Provider Enrollment page of the NCTracks Provider Portal.

Providers are encouraged to read both documents carefully to understand the implications to provider enrollment and claim billing for N.C. Medicaid and N.C. Health Choice.

There are also several Participant User Guides (PUGs) and Job Aids related to Provider Enrollment available on the secure NCTracks Provider Portal, as outlined in the table below:

Learner Assets

Title

Overview

Provider Web Portal Applications

PUG

Explain procedures for how a provider completes enrollment, re-enrollment, re-verification, maintain eligibility, and manage change request applications.

Assign the Enrollment Specialist User Role

Job Aid

The Office Administrator (OA) or an owner/managing employee user can complete and submit application processes. The Enrollment Specialist user is able to complete various applications processes on behalf of the OA. The OA is the only one able to assign the Enrollment Specialist (ES) user role to a user.

Change Office Administrator Application Process

Job Aid

This Job Aid provides instructions on how to change the Office Administrator (OA) associated with the Provider’s record (National Provider Identification [NPI]/ Atypical ID.

Enrollment Specialist

PUG

This course is applicable to you if you have been assigned the Enrollment Specialist role by your Office Administrator (OA); guiding you through the process for completing Enrollment, Re enrollment, Manage Change Request (MCR), or Re-verification applications on behalf of the Office Administrator. The Enrollment Specialist is responsible for marking the application as complete for the OA to electronically sign and submit. They do not have rights to submit applications (re-enrollment, re-verification, maintain eligibility, and MCRs), nor have any signatory or attestation authority.

Re-Credentialing

Job Aid

This Job Aid:

-- Provides foundational information on the purpose and requirements for provider

Re-credentialing.

-- Guides the user through the steps for completing the Re-credentialing/Re-verification process through NCTracks.

Rendering/Attending Only Provider Changes

Job Aid

Individual providers who are enrolled in Medicaid and indicate they are rendering/attending only providers may not be Community Care of North Carolina / Carolina ACCESS (CCNC/CA) Primary Care Providers (PCPs).

When individual providers affiliate themselves to organizations that are CCNC/CA PCPs, NCTracks must capture and store whether

 

Providers can access these PUGs and Job Aids in SkillPort, the NCTracks Learning Management System. Logon to the secure NCTracks Provider Portal and click Provider Training to access SkillPort. The PUGs can be found in the folder labeled ILT Guides under Provider Computer-Based Training (CBT) and Instructor Led Training (ILT). The Job Aids can be found in the folder labeled Reference Documents under User Guides. 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.