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NC Department of Health and Human Services
NC Division of
Medical Assistance
 
 

Understanding NCTracks

NCTracks Went Live on July 1, 2013!

What is NCTracks?

NCTracks is the replacement Medicaid Management Information System (MMIS) that facilitates provider enrollment and consolidates claims processing activities for multiple DHHS health plans. NCTracks coordinates processing among the payers to ensure the proper assignment of the payer, benefit plan, and pricing methodology for each service on a claim.
NCTracks processes claims for the following agencies and programs:

  • Division of Medical Assistance (DMA) – Medicaid and N.C. Health Choice
  • Division of Public Health (DPH) – Public Health
  • Office of Rural Health and Community Care (ORHCC) – Rural Health and Migrant Health
  • Division of Mental Health/Developmental Disabilities and Substance Abuse Services (MH/DD/SAS) – State-funded services for the mentally ill, developmentally disabled and substance users.

(Note: Providers who are contracted by Local Management Entities - Managed Care Organizations (LME/MCO) to perform state funded MH/DD/SAS services will continue to submit their claims to the LME/MCO.)

Sign up for NCTracks Email Alerts

Providers can subscribe to email alerts through the NCTracks Provider Portal at www.nctracks.nc.gov/. Alerts are sent when there is important information to share between monthly issues of the Medicaid Provider Bulletin.

To receive email alerts and other communications from NCTracks, visit this page https://www.nctracks.nc.gov/content/public/providers/provider-announcements.html.Use the link “Click here to join mailing list” under the heading “Sign Up for NCTracks Communications” in the upper right corner of the page. Providers who currently receive email alerts will continue to receive them through NCTracks. No other actions are required.

Email addresses will never be shared, sold or used for any purpose other than Medicaid and N.C. Health Choice email alerts and NCTracks communications.

Using NCTracks

The NCTracks Website has a lot of information about how to use the system. Links which providers might find particularly helpful include:

History

In December 2008, the N.C. Department of Health and Human Services awarded a contract to CSC to develop and implement a replacement for the previous Medicaid Management Information System (MMIS), which was more than 34 years old.

The N.C. Office of Medicaid Management Information System Services (OMMISS) provided oversight and managed activities for the procurement of the replacement MMIS system, which is NCTracks). It currently oversees The NCTracks contract.

CSC runs the system and serves as the fiscal agent for DHHS and its agencies, providing operational support to manage provider and recipient call centers, prior authorization reviews, claims processing, pharmacy operations, medical policy reviews, and other administrative activities. CSC will be the fiscal agent for four years with one 1-year renewal option.

Contact Information for CSC

    • NCTracks Fax Numbers:
      • Main Fax Number: 919-851-4014
      • Pharmacy Prior Approval: 855-710-1969
      • Non-Pharmacy Prior Approval: 919-816-3139 or 855-710-1964
      • CA Overrides: 919-816-4420

Contact Information for OMMISS