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

Diagnosis Code Changes for Carolina Complete Health Providers Required to use Electronic Visit Verification

Beginning Monday, May 15, 2023, Carolina Complete Health will allow Providers to manage the Billing Diagnosis Code field in the HHAeXchange Provider Portal. As part of this update, the Diagnosis Code does not import on any new authorizations. The Provider is responsible for managing and entering the correct DX Code for the service. Refer to the Provider-Managed Billing Diagnosis Code Job Aid (PDF) for instructions on how to enter the diagnosis codes, moving forward for all Carolina Complete Health Authorizations. A Billing Review hold has been implemented for any authorizations that do not have a DX loaded. This process prevents any submission of blank Diagnosis Codes on a claim.
Note: EDI Providers must coordinate with their EVV Vendor to ensure rates and diagnosis codes are being sent. Once confirmed, reach out to to request your configurations be updated.  
For further information concerning the contents of this notification, please contact HHAeXchange Customer Support (