NC Medicaid-3136 and 3085 Form Submission

<p style="margin:0in 0in 12pt">Effective Mar. 4, 2019, NC Medicaid implemented functionality in QiRePort allowing providers to submit the Internal Quality Improvement Program Attestation (NC Medicaid-3136) and Session Law 2013-306 PCS Training Attestation (NC Medicaid-3085) Forms via upload.</p>

Author: NC Medicaid Long-Term Services and Supports, (919)-855-4364

Effective Mar. 4, 2019, NC Medicaid implemented functionality in QiRePort allowing providers to submit the Internal Quality Improvement Program Attestation (NC Medicaid-3136) and Session Law 2013-306 PCS Training Attestation (NC Medicaid-3085) Forms via upload.

Liberty Healthcare and NC Medicaid will provide training during Spring 2019 PCS Regional Training on the new process. Upon completion of training, providers will be expected to submit both the NC Medicaid 3136 and 3085 forms via the provider portal. Providers may register for training through the Liberty Healthcare Corp. of North Carolina Medicaid PCS Website.   

The NC Medicaid email addresses for NC Medicaid 3136 and 3085 Forms will be deactivated.

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