Verifying Recipient Eligibility Through NCTracks

DHHS and CSC have become aware of some confusion surrounding what information providers see onscreen while verifying recipient eligibility through NCTracks. The new system takes a more simplified approach than the one to which providers may be accustomed. NCTracks lists the benefits a recipient may receive, rather than programs in which the recipient is enrolled.

For example, a beneficiary may be enrolled in a specific program, such as Medicaid for Infants and Children (MIC) or Medicaid for Adults with Disabilities (MAD). The dozens of three- or four-letter program eligibility codes that providers saw in legacy systems do not display in NCTracks. What the provider sees instead is the Health Plan in which the beneficiary is enrolled (such as Medicaid, Health Choice and others). Beneath the Health Plan is a list of the benefits for which the recipient is eligible, based on program enrollment.