The intent of these manuals are to provide the references and sources needed to meet the requirements of Memorandums of Agreement and Contracts. To access these publications, you need Adobe Reader. Adobe Reader may be downloaded for free.
Provider Operations Manual
Provider CLAIMS Manual
Provider Sanctions Grid
The Provider Sanctions Grid is the NC DMA approved list of Sanctions an LME/MCO may implement against a contract network provider. Sanctions are listed by Area of Risk, Specific Violations, Potential Sanctions, and the appropriate reference including the MCO-Provider Contract, DMA-MCO Contract, North Carolina General Statutes, North Carolina Administrative Code, NC DMA Clinical Coverage Policies, and Code of Federal Regulations.
Provider Sanctions Grid - FINAL - CEO Forum Approved 01112013.pdf
Use of Clearinghouses for Submission and Processing of Claims:
MeckLINK Behavioral Health has engaged TKSoftware, Inc., a nationwide clearinghouse, to receive and process electronic claims for providers submitting claims to MeckLINK. If you are the contract provider that currently uses or plan to use a clearinghouse to submit claims to MeckLINK Behavioral Healthcare for information
learn more about TKSoftware, Inc.
Complete Provider Document Library