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

Provider Contacts

 

A

  • Accident-Related Issues (DMA Third Party Recovery): 919-814-0000
  • Adult Care Homes/ Personal Care Services Retroactive Requests with DMA (Facility and Community Care): 919-855-4260
  • Advance Directives (DMA Clinical Policy): 919-855-4260
  • Ambulance Services (DMA Clinical Policy): 919-855-4260
  • Ambulatory Surgical Centers (DMA Clinical Policy): 919-855-4260
  • Automated Voice Response System (AVRS) (CSC) 1-800-723-4337
  • Automatic Deposits (Electronic Funds Transfer) (CSC): 1-800-688-6696

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B

  • Baby Love (Maternal Support Services) (DMA Clinical Policy): 919-855-4320
  • Beneficiary Eligibility
    • Verification (After clicking on this link, Click on "Provider Claims and Billing Assistance Guide," then click on Chapter 10 - Verifying Recipient Eligibility)
    • AVRS: 1-800-723-4337
    • Dates of service over 12 months (DMA Claims Analysis Unit) 919-855-4045
  • Be Smart Family Planning Waiver Program (DMA Clinical Policy): 919-855-4260
  • Billing Issues/Claim Inquiries (CSC): 1-800-688-6696

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C

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D

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E

  • Electronic Claims Submission (CSC): 1-800-688-6696
  • Electronic Data Interchange (EDI) (CSC): 1-800-688-6696
  • Electronic Funds Transfer (EFT) (Automatic Deposits) (CSC): 1-800-688-6696
  • Eligibility
    • Verification of Beneficiary Eligibility (After clicking on this link, Click on "Provider Claims and Billing Assistance Guide," then click on Chapter 10 - Verifying Recipient Eligibility)
    • AVRS: 1-800-723-4337
    • Dates of service over 12 months (DMA Claims Analysis Unit) 919-855-4045
  • Enhanced Pharmacy Program External link (ACS Clinical Call Center for information on drugs that require prior authorization): 1-866-246-8505
  • Enrolling as a Medicaid Provider (including CCNC/CA) (CSC Call Center): 1-800-688-6696
  • EVC Call Center (provider enrollment, verification, and credentialing)

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F

  • Family Planning Waiver Program - Be Smart (DMA Clinical Policy): 919-855-4260
  • Fee Schedules
    • Hospital Rate Setting (DMA Financial Operations): 919-814-0049
    • Rate Setting (DMA Financial Operations) –
      - Hospital, LTC, and Behavioral Health Rate Setting: 919-814-0060
      - Professional Services Rate Setting: 919-814-0070
  • Forms
    • Billing, Prior Approval, Enrollment. (NCTracks Call Center): 1-800-688-6696
  • Fraud and Abuse (DMA Program Integrity): 919-814-0000

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G

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H

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I

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J

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K

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L

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M

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N

  • NC Health Choice: 1-800-622-7030
    • Children with Special Health Care Needs: 1-800-737-3028
    • Mental Health Case Manager: 1-800-753-3224
    • Pharmacy Benefit Manager (CSC): 1-800-688-6696
    • Prior Approval (CSC): 1-800-688-6696
  • NCTracks
  • Nursing Facilities (DMA Clinical Policy): 919-855-4340

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O

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P

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Q

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R

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S

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T

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U

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V

  • ValueOptions External link:
    • Toll Free Number: 1-888-510-1150
    • Fax Number (Mental Health/Substance Abuse Services): 1-877-339-8753
    • Fax Number (Intellectual and Developmental Disability Services): 1-877-339-8754
    • Fax Number (Inpatient Services and Psychiatric Residential Treatment Facility Services): 1-877-339-8760
    • Fax Number (N.C. Health Choice): 1-877-339-8758Eligibility
  • Verification of Beneficiary Eligibility (After clicking on this link, Click on "Provider Claims and Billing Assistance Guide," then click on Chapter 10 - Verifying Recipient Eligibility)
    • AVRS: 1-800-723-4337
    • Dates of service over 12 months (DMA Claims Analysis Unit) 919-855-4045

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    W-Z

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March 12, 2014