NCTracks continues sending 45 and 60-day notifications of suspension for failure to update expiring credentials (licenses, certifications, and accreditations) to providers through the Provider Message Center Inbox. 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 expiration date. In suspension status, claims pend and will not pay.
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.