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WEBCarolina Complete Health Network (CCHN) is a first-of-its-kind partnership—a collaboration between the North Carolina Medical Society (NCMS), the North Carolina Community Health Center Association, and Centene Corporation—to deliver a patient-focused approach to Medicaid in North Carolina. Learn More.

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URL: https://network.carolinacompletehealth.com/

Claims, Billing, and Payment

WEBRefer to page 22 (see below) of the Billing Manual (PDF).Best practice is to submit corrected claims rather than new claims to avoid this denial. Duplicate Edits: Code …

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Outpatient Pharmacy Benefit

WEBThree ways providers may submit Outpatient Pharmacy Requests: Cover My Meds Portal. Fax completed Prior Authorization Forms to 1-833-404-2393. Call the Prescriber Help …

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Healthy Opportunities

WEBThe Healthy Opportunities Pilot (HOP) is a new federally-funded program to help improve the overall health of Medicaid beneficiaries. The goal is to help people who are …

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Over-the-Counter Benefit

WEBIn addition to the over-the-counter medications covered at the pharmacy, Carolina Complete Health members also have access to our OTC Value-Added Service. Through the …

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Prior Authorization

WEBFor Pharmacy Prior Authorization forms, please visit our Pharmacy page. Fax Number Reference Guide. 833-238-7690. Carolina Complete Health Medicaid Face Sheets. 833 …

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Manuals, Forms, and Guides

WEBTo streamline processes for nursing facility admissions and the determination of long-term care financial eligibility, NC Medicaid created a new standardized PHP Notification of …

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Provider-Led Innovation

WEBAt the end of May 2021, members of the North Carolina Medical Society were surveyed on the mission and activities of the provider-led entity at the heart of the state’s Medicaid …

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Provider Resources Carolina Complete Health Network

WEBCarolina Complete Health Quit for Life® Tobacco Cessation Program; NC Medicaid bulletin about the Standard and Tailored Plans Tobacco Free Policy Requirement; Trainings for providers and staff: visit Tobacco-Free Policy Resources.; NC Breathe Easy offers technical assistance and training on tobacco-free policy implementation and evidence …

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About Us Carolina Complete Health Network

WEBCarolina Complete Health Network was formed as a subsidiary of the NC Medical Society in partnership with the NC Community Health Center Association . Centene insures over …

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Education and Training

WEBNC DHHS established provider training criteria for the Tailored Plan, which must be made available for Tailored Plan Providers. Recognizing the importance of reducing the administrative burden, the following reciprocity agreement has been developed between Carolina Complete Health and our Tailored Plan partners; Trillium Health …

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Provider Updates

WEBThe member, or you and the member together, can contact Member Services at 1-833-552-3876 to update or change the PCP.

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Home Health and Personal Care Services

WEBHome Health and Personal Care Services. Join Carolina Complete Health (CCH) and HHAeXchange (HHAX) for a Home Health Care Provider Office Hours! …

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Network Provider FAQs

WEBA: The General Assembly passed legislation in 2015 that will transform our state-operated, fee-for-service Medicaid program into a new program that will rely on three (3) prepaid health plans to administer Medicaid benefits statewide and (1) provider-led plan to administer Medicaid benefits in Regions 3 and 5, Carolina Complete Health (CCH).

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Secure Provider Portal Overview

WEBClaims Attachment (post claims submission) Step 1: Locate the claim on the Claims Status Page Step 2: Navigate to the Pending claim details and select upload document. …

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