Provider Portal Referral Option No Longer Available

*This article was posted in the May 2017 Medicaid Bulletin.

Attention: Community Care of North Carolina/ Carolina ACCESS Providers

Reminder about Community Care of NC/Carolina ACCESS Payment Authorization

Note: This is a revision to the article, Carolina ACCESS Payment Authorization, which was posted in the November 2016 Medicaid Bulletin

Effective with dates of service Nov. 1, 2016, Community Care of North Carolina/Carolina ACCESS (CCNC/CA) providers shall not:

• Enter a National Provider Identifier (NPI) as the CCNC/CA payment authorization number for claims processing.
• Use the NCTracks Provider Portal to make referrals for CCNC/CA enrollees; This functionality will not be available effective May 1, 2017, or,
• Make requests to NCTracks for CCNC/CA overrides for services provided after Oct. 31, 2016.

Providers should not receive claims denials due to CCNC/CA payment authorization for dates of service after Oct. 31, 2016. Providers must still adhere to the CCNC/CA coordination of care protocols.