Recent changes to federal regulations at 42 CFR 424.518(D) impact requirements for fingerprint-based background checks for some providers.
In accordance with 42 CFR 455.410(a), the Centers for Medicare & Medicaid Services (CMS) requires state Medicaid agencies to screen providers for “categorical risk” according to the provisions of Part 455 subpart E. Providers who are designated as “high categorical risk” under 42 CFR 424.518 and NCGS 108C-3, and, any person with a 5 percent or more direct or indirect ownership interest in the organization, as defined in 42 CFR 455.101, must submit a set of fingerprints to NC Medicaid through its enrollment vendor, GDIT, via the secure provider portal, NCTracks.
Until recently, fingerprint results submitted through NCTracks were valid for a period of six months. However, for some, the period of time for which fingerprints are valid now extends to five years.
Regulations at 42 CFR 424.518 have been revised to require that a provider, or any person with a 5 percent or greater direct or indirect ownership interest in the provider who has submitted a set of fingerprints within the past five years, as an owner on a separate and newly enrolling provider, is not required to submit a new set of fingerprints. NC Medicaid will rely on the results from the previous fingerprint submission.
More information on the fingerprinting application process, including additional resources, frequently asked questions and locations for fingerprinting services, can be found in the NCTracks Fingerprinting Application Required Job Aid.
Contact
NCTracks Call Center: 800-688-6696