Prodigy > NC Medicaid > For NC Providers

Welcome North Carolina Medicaid Providers

Click here to download the Prodigy Meter Reimbursement Form
Submit by mail to: Prodigy Diabetes Care, LLC

**Updates for North Carolina Medicaid Providers**

For Prodigy Meter Clinical Accuracy.......Click Here

North Carolina Test Strip Formulary Status Update
Health Plans	Prodigy
North Carolina Medicaid	Exclusive
Medicare Part B	Covered
AARP Medicare Part D	Covered
CIGNA	Covered
Humana CarePlus Medical Part D	Covered
Medco Health Solutions	Covered
North Carolina BlueCross BlueShield BlueCare HMO	Covered
North Carolina BlueCross BlueShield BlueRX	Covered
Partners Medicare	Covered
Prescription Solutions	Covered
WellPoint / Anthem	Covered
WellPoint NextRX	Covered

General Information: NC Providers
Summary: Why?	Starting November 15, 2009, the State of NC changed the brand of diabetes supplies Medicaid members have to use. They chose Prodigy^® because of its high quality and cost effectiveness. The Prodigy AutoCode^®actually talks in English or Spanish (this feature can be turned off) is very accurate and requires No Coding. All Medicaid members must begin using this meter right away.
Who is Prodigy?	Prodigy^® has one of the highest quality products on the market today. We’re a high-tech company based in Charlotte, NC, and manufacture easy-to-use, English/Spanish talking blood glucose meter systems (the talking can be turned off) with No Coding needed. Our accuracy meets or exceeds all of our competitors and we are one of the few manufacturers not affected by the GDH-PQQ issue.
Who’s affected?	All Medicaid members must use Prodigy^® brand monitors and supplies after November 15, 2009. Members that have Medicare or third party insurance as well do not have to change, but Prodigy^® is available to them as well. Retail and DME’s must bill with specific NDC’s for Prodigy^® in order to be reimbursed.
What’s affected?	All blood sugar testing supplies must be Prodigy^®, primarily the Prodigy AutoCode^®. This includes the meter, test strips, control solutions and syringes, if necessary. Specific NDC’s are available for ordering.
When?	Effective November 15, 2009. The State sent out an email blast October 12 and is sending out provider and member letters on Friday, October 16.
How do I get supplies?	Prodigy^® meters, test strips, control solutions, lancets and syringes may be ordered directly through Prodigy^® or purchased through a distributor i.e. McKesson, AmerisourceBergen, etc.
What is the Cost	Due to specific reimbursement guidelines from the State, suppliers must bill with Prodigy^® NDC numbers as well as purchase at one single rate for the entire state. The State wants a level playing field for all providers regarding the cost.
About NC Medicaid	All Medicaid coverage or eligibility questions should go to the State at: “CARE-LINE”: 800-662-7030, www.nccarelink.gov.
Product Support	All questions about meters or products should go to the Prodigy^® Technical Hotline at 800-243-2636.

Frequently Asked Questions...about our products, quantity limits, billing and reimbursement.

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For more information, visit the North Carolina State Medicaid website