nc tracks patient portal

Who can use the NCTracks web portal?

The NCTracks Web Portal contains information that is private and confidential. Only users of legal age or with parental consent authorized by the North Carolina Medicaid Management Information Systems (NC MMIS) may utilize or access NCTracks Web Portal for approved purposes.

How do DHHS providers file claims with NCTracks?

This section is intended to help N.C. DHHS providers understand how to file claims with NCTracks, including secondary claims. All claims are expected to be submitted to NCTracks electronically, either through the NCTracks Provider Portal or as an ASC X12 transaction.

How do I Contact North Carolina track services?

Phone: 800-688-6696. Fax: 919-851-4014. Email: NCTracksprovider@nctracks.com. Mailing Address. PO Box 300009. Raleigh, NC 27622-8009.

What is the provider portal?

The Provider Portal is a web based application within the NCTracks MMIS multi-payer system.

How do I get access to NCTracks?

In order to request the authorization code associated with an NPI, providers should call the NCTracks Call Center (800-688-6696) prepared to offer the information required to verify the caller's identity and relationship to an NCTracks provider.

What is NCTracks used for?

NCTracks is the new multi-payer Medicaid Management Information System for the NC Department of Health and Human Services. It has three separate portals for specific internet access to different sectors of the business (Providers, Recipients and internal operations needs).

Can I check my NC Medicaid status online?

Online: Log in to your NC Medicaid Managed Care account at ncmedicaidplans.gov/enroll/online. Mobile app: To get the free mobile app, search for NC Medicaid Managed Care on Google Play or the App Store. Phone: Call us toll free at 1-833-870-5500 (TTY: 1-833-870-5588).

How do I check my NC Medicaid?

Call 1-877-201-3750 or visit ncmedicaidombudsman.org. Make sure you do not miss any news about your Medicaid coverage. Check to be sure we have the right address and contact information for you. To check your information or report changes, visit or call your local Department of Social Services (DSS) office.

What is NCTracks prior approval?

Prior approval (PA) is required for certain drugs prescribed to N.C. Medicaid and Health Choice recipients. Refer to the Prior Approval Drugs and Criteria page for specific criteria. Providers may submit requests via fax, phone or through the secure NCTracks secure provider portal.

What is N.C. tracker?

Welcome to NCTracks, the multi-payer Medicaid Management Information System for the N.C. Department of Health and Human Services (N.C. DHHS). PROVIDERS - Click on the Providers tab above to enter the Provider Portal. RECIPIENTS - Click on the Recipients tab above to enter the Recipient Portal.

How do I check my Medicaid status?

PhoneCall toll-free at 800-252-8263, 2-1-1 or 877-541-7905.Choose English or Spanish.Choose option 2. The person you speak with can help you find out if you have Medicaid or not.

How do you check if my Medicaid is active online?

Log in to your HealthCare.gov account. Click on your name in the top right and select "My applications & coverage" from the dropdown. Select your completed application under “Your existing applications.” Here you'll see a summary of your coverage.

What is the Medicaid income limit for 2022 in NC?

The medically needy income limit has remained the same for many years, and in 2022, continues to be $242 / month for a single individual and $317 / month for a married couple.

What age does Medicaid stop in NC?

North Carolina Medicaid includes Baby Love for prenatal and infant health care, Health Check for children up to age 21, Carolina ACCESS for managed care, and community alternatives to provide home and community care as a cost-effective alternative to institutionalization.

What is the highest income to qualify for Medicaid?

Federal Poverty Level thresholds to qualify for Medicaid The Federal Poverty Level is determined by the size of a family for the lower 48 states and the District of Columbia. For example, in 2022 it is $13,590 for a single adult person, $27,750 for a family of four and $46,630 for a family of eight.

What is the Medicaid income limit for 2021 in NC?

The income limit for full Medicaid is $1,012 single person and $1372 for a couple. If income exceeds these, limits, the individual or couple must meet a medical deductible before he is eligible for full Medicaid.

How long does it take to get approved for Medicaid in NC?

Once your application is received, we will begin processing it. If you are 65 or older, a child, or caretaker of a child, it can take up to 45 days to process your application. If you are under age 65 and have no child in your care, it can take up to 90 days to process your application.

How do I get a copy of my Medicaid card in NC?

If you don't receive your Medicaid card, or if you lose your card, call Member Services at 1-855-375-8811 (TTY 1-866-209-6421).

What is the income limit for Medicaid in NC?

Who is eligible for North Carolina Medicaid Program?Household Size*Maximum Income Level (Per Year)1$18,0752$24,3533$30,6304$36,9084 more rows

What is the highest income to qualify for Medicaid?

Federal Poverty Level thresholds to qualify for Medicaid The Federal Poverty Level is determined by the size of a family for the lower 48 states and the District of Columbia. For example, in 2022 it is $13,590 for a single adult person, $27,750 for a family of four and $46,630 for a family of eight.

User Guides

The following user guides are intended to provide step-by-step instructions to complete a variety of claims related activities in NCTracks. Additional user guides may be found on the Provider User Guides and Training page of the NCTracks provider portal.

Fact Sheet

The following Fact Sheet outlines many of the key differences in how NCTracks proceses claims compared to the legacy system.

Claims Training

There are several Claims Training courses available for providers in SkillPort, including How to Submit a Professional/Institutional/Dental Claim (depending on the type of provider) and DME Claim Processing. For more information regarding how to access SkillPort, see the Provider Training page on the NCTracks Provider Portal.

Claim Submission FAQs

PDF documents on this page require the free Adobe Reader to view and print.