To ensure providers meet their contractual obligation to keep credentials current, a process of 45 and 60-day notifications of suspension for failure to update a credential prior to the expiration date on file with NCTracks was implemented in early May 2021. In suspension status, claims pend and will not pay.
NCTracks is sending these notifications to providers through the Provider Message Center Inbox in advance of the expiration date of the credential (licenses, certifications and accreditations). If the credential is not updated, a reminder notice is sent at 30 calendar days and again at 14 calendar days prior to the expiration of the credential. The final reminder is sent seven calendar days prior to the expiration date.
The provider's taxonomy code(s) that requires the expiring credential will be terminated on the 61st calendar day following suspension. If the terminated taxonomy represents the only taxonomy for that location or provider record, then the service location or enrollment record will also terminate. Terminated providers must reapply in order to participate in North Carolina Medicaid and NC Health Choice programs.
For more information, please see NCTracks Changes to Provider Verification Process.
Contact
NCTracks Call Center: 800-688-6696