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NC DMA : 2002 Health Check Billing Guide - ncdhhs

NC DMA : 2002 Health Check Billing Guide - ncdhhs-2025

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The North Carolina Medicaid Special Bulletin published in July 2002 provides updated guidelines for the Health Check Program, which offers preventive care services to Medicaid-eligible children from birth to age 20. Effective October 1, 2002, the bulletin outlines billing requirements, screening components, immunization administration procedures, and necessary documentation for health check screenings. It emphasizes the importance of comprehensive health assessments and regular screenings while detailing specific codes and modifiers required for billing purposes.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the phone number for NC Medicaid provider?

1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.

Does NC Medicaid cover TB skin tests?

Medicaid and NCHC shall not cover TB skin testing for job or college as described in NC Clinical Policy Guide 1D-3. Limits on initial assessment and intervention to four units of service per date of service and four units per 270 calendar days.

What is a billing number for Medicaid?

0:09 3:00 Program this number is crucial for several reasons especially when it comes to billing. AndMoreProgram this number is crucial for several reasons especially when it comes to billing. And ification. First lets clarify that there are different types of provider.

What is the EP modifier for NC Medicaid?

EPSDT covers preventative services for beneficiaries under the age of 21, which includes Health Check or wellness visits and comprehensive screenings. All preventative services provided under EPSDT should include the EP modifier on the claim, when submitted to the health plan or NC Medicaid Direct.

What is the timely filing limit for Medicaid NC corrected claims?

Timely Filing for Medical Claims For Standard Plans, the 365 day time frame is effective July 1, 2023. This applies to the original claim submission and any subsequent corrected claims. For NC Medicaid Direct, LME/MCOs may require claims be submitted within 90 days of the service prior to 7/1/2024.

How do I contact NC Medicaid customer service?

To find yours, use this directory or call the NC Medicaid Contact Center at 1-888-245-0179. Walk-ins are available at all local offices. You can also call to schedule an in-person or phone interview (recommended).

What is the phone number for NC Medicaid billing?

Customer Service Agents are available to answer questions at this toll-free number: Phone: 800-688-6696.

NC DMA : 2002 Health Check Billing Guide - ncdhhs-2025

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