From the NC Division of Medical Assistance
The Centers for Medicare and Medicaid Services (CMS) requires that all Medicaid providers are re-credentialed. The N.C. Division of Medical Assistance (DMA) is reviewing the status of enrolled providers to ensure compliance. This is a reminder and update to the announcement posted on August 24, 2015.
Providers will receive a re-credentialing notice posted to their Message Center Inbox on the secure NCTracks Provider Portal when re-credentialing is due. Due dates for re-credentialing are specific to each provider. All providers will not receive re-credentialing notices at the same time. Providers have 45 days after notification to complete the re-credentialing process. As a reminder, North Carolina session law 2011-145 Section 10.31(f)(3)requires that providers pay a $100 fee for Medicaid re-credentialing.
It is crucial that all providers who receive a notice promptly respond and begin the online re-credentialing process. All Medicaid providers that receive a re-credentialing notice are required to re-credential as part of the NCDHHS Provider Administrative Participation Agreement. Re-credentialing is not optional.
Providers who do not complete the re-credentialing process on time will receive a letter notifying them that they are suspended from participation in the Medicaid program. Providers have 30 days following notification of suspension to complete re-credentialing. Providers who do not complete the re-credentialing process within that time frame will be subject to termination from the Medicaid program.
To assist providers with the re-credentialing process, a new webpage is available on the NCTracks provider portal. Providers are encouraged to consult the new webpage for information regarding the online re-credentialing process in NCTracks, as well as links to Provider Announcements, User Guides, and Frequently Asked Questions.