Affordable Care Act Fee Increase for Provider Enrollment

The Centers for Medicare & Medicaid Services (CMS) announced an increase in the Affordable Care Act (ACA) provider enrollment application fee. The application fee has increased to $569 for calendar year (CY) 2018 for applications received starting on Jan. 1, through Dec. 31, 2018.

The fee is required for any institutional providers who are newly enrolling in Medicaid or N.C. Health Choice, re-enrolling, re-credentialing or adding a new practice location. It does not apply to individual physicians or non-physician practitioners.

After the submission of the enrollment application, an invoice of the fee will occur. Providers are requested to wait for their invoice before submitting payment. The Federal Register published the fee notice on Dec. 4, 2017. For additional information about the application fee, visit the ACA Application Fee FAQ web page on the NCTracks Provider Portal.