Provider Manuals and Forms

AmeriHealth Caritas North Carolina offers these reference materials to our providers for use when treating our members.

• Provider manual (PDF)
  This manual will help you and your office staff provide services to our members.
• Claims and billing guide (PDF)
  This manual will help you avoid delays in the processing of your claims.
• Provider reference guide  (PDF)
  Keep this sheet of contact information close by for when you need to give us a call.
• Prior authorization reference guide (PDF)
  Refer to this guide for quick information about services requiring prior authorization and how to submit your request.

• Non-covered State Medicaid Plan Services Request Form for Recipients under 21 years old (PDF)

Let Us Know (Rapid Response and Outreach Team)

• Rapid Response and Outreach Team Member Intervention Form (PDF)

Long-Term Services and Supports (LTSS)