Finance/Claims & Forms

Posted 5/8/2023

Claims Timeline Changes 

On May 3, 2023, the State made the following changes to the Claims Filing Timeline for all the TP/PIHPs. This change supersedes Sandhills Center's April 1, 2023 announcement. The timely filing timeframe will be extended from 180 days to 365 days. The earliest effective date of this change will be July 1, 2023. The timely filing change will be required for all claims with service dates on and after July 1, 2023. This change directly impacts all Claims and Retroactive Enrollees' timely filing rules.

• 2022-2023 End-of-the-Year Letter from the Finance Director
• 2023 Behavioral Health Checkwrite Schedule
• Medicaid Fee Schedule
• State-Funded Fee Schedule Spreadsheet (Excel spreadsheet)
• Claims Inquiry/Resolution Form - New Process for Claims Inquiries (6/13/2022)
• 2022-2023 Year-End Letter from the Finance Director
• Direct Care Worker Wages Increase Information
• EVV Rate Increase Information
• 2022 Check-Write Schedule
• 2021-2022 Rate Sheet
• 2020-2021 Rate Sheet
• 2019-2020 Year-End Closing Process (posted 5/20/2020)
• Sandhills Center Retainer Payment Fee Schedule (posted 4/29/2020)
• Temporary Rate Increases, effective 4/1/2020
• 2021 Check-Write Schedule (updated 12/16/2020)
• 2019-2020 Reimbursement Rates (updated 3/23/2020)
• 2018-2019 Year-End Closing Process
• 2018-2019 Reimbursement Rates (posted 3/29/2019)
• 2017-2018 Reimbursement Rates(updated 11/16/2017)
• MCO Accepted Taxonomies (July 2017)
• 2019 Check-Write Schedule
• Potential Payment Impact: Implementation of New Taxonomy Claim Edit
• Announcement to Providers: ACTT Billing Changes Effective Nov. 1, 2016
• Revised PPA Application and Instructions
• PPA Checklist
• Timely Filing Letter 2019
• Sandhills Center Refund Check
• Health Insurance Information Notification Form
• ACH Direct Deposit Application for Providers
• Place of Service Crosswalk
• 837P Companion Guide Version 1
• 837I Companion Guide Version 1
• 835 Companion Guide Version 1
• Trading Partner Agreement
• AlphaMCS Provider Portal Login
• Alpha Provider University

For claims and billing issues, please refer to the Provider Support Portal.

The Finance/Claims department is located at 1120 Seven Lakes Drive (P.O. Box 9), West End, NC 27376. The office is open from 8:30 a.m. to 5 p.m., Monday through Friday. For more information, call 910-673-9111.