North Carolina Health Choice: New ID Cards

NEW HEALTH CHOICE ID CARDS COMING SOON
Beginning October 1, 2011, there will be a new NCHC Identification card. The card will be gray with an NCHC logo on it , but it will resemble the Medicaid ID card. The card will list the NCHC recipient and his or her identification number and the Community Care of North Carolina/Carolina ACCESS (CCNC/CA) medical home/Primary Care Provider (PCP) information.  As a function of CCNC/CA, all NCHC recipients must be referred by their PCP for all services not performed at their medical home. Contact the PCP located on the card if there is any doubt of the referral.
The Division of Medical Assistance will mail the new ID card to all current NCHC recipients during the month of September for use with services from October 1, 2011, and after. NCHC recipients approved after October 1, 2011 will also receive the new card. If someone is approved after October 1 for a time period prior to October 1, he or she will receive the old Blue Cross/Blue Shield NCHC card which should be used for billing for all services received prior to October 1, 2011.
The NCHC card is not proof of eligibility. The provider must verify eligibility by using one of the following:
  • Recipient Eligibility Verification Web Tool
  • Real Time Eligibility Verification (270/271 Transaction)
  • Batch Eligibility Verification (270/271 Transaction)
  • Automated Voice Response (AVR) System – 1-800-723-4337, Option 6
You can find additional information about the verification process in Appendix F of the Medicaid Billing Guide. 

NEW HEALTH CHOICE BILLING GUIDE COMING SOON
The NCHC Billing Guide is currently undergoing revisions to reflect the program benefit changes required by Session Law 2011-145.  The fall 2011 Medicaid Billing Guide update will include a new chapter insert specific to the Health Choice Program.

For more information: http://www.ncdhhs.gov/dma/bulletin/0811bulletin.html#den

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