Getting Started with Carolina Complete Health

This guide provides need-to-know information regarding the provider portal, securing prior authorizations, important phone numbers, and more!

Known Issues Tracker

This document provides timely information related to known issues impacting providers. This will be updated weekly on Thursdays. 

Provider Announcements

  • Carolina Complete Health (CCH) has developed a new policy for CAR-T Cell Therapy.  Previously, CCH has attested to state policy 11A-17. The new CCH specific policy is less restrictive, removing the absolute requirement for a bone marrow biopsy prior to the provision of CAR-T Cell Therapy. Review new policy NC.CP.MP.500.
  • The Physician’s Office Lab Testing policy has been updated to include additional in-office labs along with resources for additional guidance specific to codes 87480, 87510, and 87798.  

The NC Incident Response Improvement System (IRIS) sites transitioned from the dhhs.state.us link to the ncdhhs.gov site. IRIS is a web based incident reporting system for reporting and documenting responses to Level II and III incidents involving consumers receiving mental health, developmental disabilities and/or substance abuse services. The IRIS Training site moved on November 4, 2022 from https://iristraining.dhhs.nc.us to  https://iristraining.ncdhhs.gov.   The Live IRIS site will continue to redirect users from https://iris.dhhs.state.nc.us/ to https://iris.ncdhhs.gov until December 31, 2022.  We ask that all IRIS users bookmark the updated live site before December 31, 2022, to ensure easy access. 

The NC Incident Response Improvement System (IRIS) is now operational for all users.  IRIS is a web-based incident reporting system for reporting and documenting responses to Level II and III incidents involving consumers receiving mental health, developmental disabilities and/or substance abuse services. Please enter all paper incident reports (faxed or not faxed) into the system.  If you receive an error message, please send a screenshot of the error message to QOC_CIR@carolinacompletehealth.com for assistance.