In early May 2021, NCTracks began sending reminder notifications to providers through the NCTracks Provider Message Center Inbox advising of the requirement to update expiring credentials in order to avoid claims suspension and potential termination. In suspension status, claims pend and will not pay.
If an expiring credential (licenses, certifications and accreditations) 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.
Beginning June 26, 2021, claims will suspend for providers who received notice but failed to meet the deadline by which the update was required.
- If the expiring credential is not updated, 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 or NCTracksprovider@nctracks.com