On May 9, 2021, NC Medicaid is taking additional steps to ensure providers meet their contractual obligation to keep credentials current on their NCTracks enrollment. NCTracks will generate a notification to providers at 60, 30 and 14 calendar days prior to the expiration date of the credential; and will begin a process of suspension if a provider fails to update their credential.
When the credential expires:
- The taxonomy code that requires the expired credential will suspend if the credential has not been updated by the expiration date.
- A suspension letter will be generated and sent to the Message Center Inbox with the subject ‘Recertify Suspension Letter’.
- The suspension will remain in place for another 60 calendar days. If the credential is renewed, the suspension will be lifted.
- Note: Suspension means your claims will pend and will not pay until the suspension is lifted.
- The taxonomy code that requires the expired credential will terminate on the 61st calendar day following suspension.
- If the terminated taxonomy represents the only taxonomy for that service location or provider record, then the service location or provider record will also terminate.
- If the provider record terminates, reenrollment is required to participate in the Medicaid and NC Health Choice programs. Payment is not allowed through NCTracks or any other vendor until a provider is actively enrolled with NC Medicaid.
For more information, please see NCTracks Changes to Provider Verification Process.
Providers with questions may contact the NCTracks Call Center at 800-688-6696 or NCTracksprovider@nctracks.com.
CONTACT
NCTracks Call Center: 800-688-6696