Medicaid Recredentialing Period Extended

The NC Division of Medical Assistance (DMA) has changed the length of time required before a provider must recredential in NCTracks, the Medicaid claims processing system, from three years to five years. The North Carolina Medical Society (NCMS) applauded the move, which became effective on February 18, 2015. For several years, the NCMS had been calling for such a change to help ease the administrative burden on those physicians and physician assistants who accept Medicaid patients. This new timeframe also means the $100 recredentialing fee will be due every five years.

NCTracks notified clinicians that if your current due date for recredentialing is 10/1/2015, your new due date will be 10/1/2017.  For new providers who enroll in NCTracks, the due date for recredentialing will automatically be set to 5 years. Providers who currently are recredentialing will complete the process already underway and then the due date for their next recredentialing will be set to five years from the approval date. Providers who have received a letter notifying them that recredentialing is due soon, but have not yet started the recredentialing process, should disregard the letter.  Your recredentialing due date will be extended for two more years.

DMA is required to recredential physicians and physician groups to ensure their information is up-to-date and accurate.

 
 

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