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

North Carolina Health Choice (NCHC) Providers

N.C. Health Choice for Children (NCHC) provides free or low-cost health insurance for children and teens from age 6 through the end of the month of their 19th birthday. The benefits covered by NCHC are equivalent to the benefits covered by the Medicaid program with four broad exceptions:

  1. No EPSDT;
  2. No long-term care;
  3. No non-emergency medical transportation; and,
  4. Restricted dental and orthodontic benefits.

Providers submit claims online for processing and payment through NCTracks, www.nctracks.nc.gov. For more information, call CSC at 1-800-688-6696. All claims are expected to be submitted electronically to NCTracks. However, if paper versions of claims are permitted under State policy, they should be mailed to:

     CSC
     P.O. Box 30968
     Raleigh, NC 27622-0968

For service reliability requirements, coverage criteria, and limitations, refer to the Health Choice Clinical Coverage policies.

 


Provider Bulletins - NCHC Information

For changes and updates to coverage criteria, billing information, and other program requirements refer to:


Frequently Asked Questions


NCHC Contact Information

  • Provider Customer Service
    For general questions or correspondence, call CSC at 1-800-688-6696, or write:

    CSC
    P.O. Box 300009
    Raleigh, NC 27622-8009
  • Courier Deliveries (UPS, FedEx or other overnight delivery service)

    CSC
    [Name of CSC Employee or Department]
    Suite 102
    2610 Wycliff Road
    Raleigh, NC 27607-3073
  • Provider Enrollment
    Additional information about provider enrollment through NCTracks can be found on the NCTracks Provider Enrollment web page.

    1-800-688-6696.

    Mail supplemental enrollment information to:
    CSC
    Provider Enrollment Unit
    P. O. Box 300020
    Raleigh, NC 27622-8020
  • Prior Approval
    Visit the NCTracks Provider Prior Approval web page for a list of which Prior Approvals should be submitted to CSC.

    For Medical or Dental prior approval, call 1-800-688-6696
    For Pharmacy prior approval, call 1-866-246-8505

    Prior Approval requests can be submitted on the NCTracks Provider Portal or mailed to:
    P.O. Box 31188
    Raleigh, NC 27622-1188
  • Mental Health, Alcohol, and Drug Treatment
    General Information and Questions
    Phone: 1-800-753-3224 or 1-877-339-8758
    Fax: 919-379-9035
  • Children with Special Needs Help Line
    General Information and Questions About Available Services
    1-800-737-3028
  • Pharmacy Benefit Manager: Questions About Prescription Drug Benefits and Claims
    DMA, Claims Analysis: 919-855-4045

 

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