NC Medicaid: proper use of CR modifier

Are you a provider that accepts NC Medicaid Direct and or NC Managed Medicaid Plan (Trillium)? Then this blog post is for you!


Reminder!

  • Providers should ONLY use modifier CR when the services are rendered during exclusively an active, declared emergency or disaster period.
  • CR modifier- services rendered to the members directly related to the Federal or State-declared emergency or disaster.
  • Its use complies with the NC Medicaid instructions specific to the event
  • Any claims billed with this modifier that do not satisfy the aboveentione requirenments will be denied and be subject to further review

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2 responses to “NC Medicaid: proper use of CR modifier”

  1. Jamie Carter Avatar
    Jamie Carter

    so what is appropriate for NC Medicaid telehealth for FQHC – T1015 with just the GT?

    1. KR2Medical Billing Avatar

      Hi, Jamie- thanks for the question as per Carolina Complete health network bulletin yes the correct modifier is GT for telehealth. You can find more helpful info on this page: https://network.carolinacompletehealth.com/resources/claims-and-billing/fqhc-billing-guidance.html

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