NPI Questions?

Questions or concerns about NPI? EDS Provider Services has added staff to handle NPI phone calls and research NPI issues. Callers will hear an option for the NPI Help Desk when contacting EDS Provider Services (1-800-688-6696 or 919-851-8888).

NPI Effective Today!

Effective TODAY, all claims must contain a National Provider Identifier (NPI). N.C. Medicaid will no longer accept claims submitted without an NPI on or after May 23, 2008. Unless the provider is atypical, failure to use the NPI by this date will result in a claim denial.

Medicaid Training for PCS providers

The Carolinas Center for Medical Excellence announces continuing provider training for Personal Care Services. The sessions are scheduled for June 2008. Training is recommended for registered nurses, agency administrators, and agency owners who have knowledge of the PCS program and DMA policies. Preregistration is required.

NC Medicaid PCS Cost Reports

Personal Care Services Cost Report training for the 2007 cost reports are scheduled for June 2008. Cost reports are due July 25, 2008. The sessions are intended to provide instructions on the completion of the cost report. Due to the small size of the training site, preregistration is required. The registration form, the 2007 PCS Cost Report schedule, an instruction manual, and other related materials for the training will be available at the DMA’s website (http://www.ncdhhs.gov/dma/costreport.htm) by May 14, 2008.

Professional Claims Billing for Medicaid

Effective July 1, 2008, NC Medicaid will require providers to list the 11-digit National Drug Codes as well as HCPCS codes and units on professional claims. Claims will be reimbursed in the same manner.