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Alliance members impacted by the launch of the Child and Families Specialty Plan (CFSP) are invited to get more information by contacting Healthy Blue Care Together (HBCT) at 844-594-5072 or [email protected], or by contacting the NC Medicaid Ombudsman at 1-877-201-3750.

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10/08/2025

NC-TOPPS Requirements and Common Errors

NC-TOPPS is a DMH requirement which also includes submitting accurate information into the NC-TOPPS database. The communication is intended to remind providers of the requirements and to provide education based on the most common errors we see during our monthly monitoring of NC-TOPPS submissions.

NC-TOPPS (North Carolina Treatment Outcomes and Program Performance Systems) requirements and common errors:

NC-TOPPS Interview Requirements:
  • NC-TOPPS Interviews are required for all adults and children six years of age and older who are receiving publicly funded qualifying services.
    • Per DMH/DD/SUS, the addition of a modifier to a base code of a qualifying service does not negate NC-TOPPS requirements.
  • All provider agencies delivering qualifying services must have at least one Superuser who can monitor and assist internal agency users with NC-TOPPS submissions.
Support contacts:

Common NC-TOPPS submission errors:

  • Typos:
    • Misspelled names and transposed numbers are the most common errors.
    • Please verify all information before submitting.
  • Demographic mismatches:
    • Submitted information (name, date of birth, gender) must match NC Tracks records.
    • If NC Tracks has incorrect information, the members must update it through their local DSS. Once corrected in NC Tracks, you may then update it in NC-TOPPS.
  • Name format:
    • NC-TOPPS uses partial names; the first initial of the first name and the first three letters of the last name. Example: Olivia Moon should be entered as O Moo (not M OLI)
  • Record number:
    • Use the ID provided by the member’s Tailored Plan (not the agency’s internal record number).
    • For Alliance members, the record number is found in the ACS-Alliance Claims System (Formerly Alpha Clams System)
  • CNDS Number:
    • If a person has Medicaid, their Medicaid ID is also their CNDS#
    • CNDS#s are available in NC Tracks and in ACS
    • If you cannot locate it, contact the member’s Tailored Plan.
  • Correct Tailored Plan submission:
    • NC-TOPPS must be submitted under the Tailored Plan based on the member’s county of Medicaid, not their current location.

If you need help submitting an NC-TOPPS or receive an error message for an Alliance member, please email: [email protected] with the following:

  • Member’s first and last name
  • Member’s date of birth
  • Brief description of your need or error message.
  • Reminder: Do not fabricate or guess any information. Always verify and correct data through official channels.

Thank you for your continued commitment to accurate and timely NC-TOPPS reporting.

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