According to the Statement of Administrative Policy from the Executive Office of the President, published Jan 30, 2023, the Federal Public Health Emergency (PHE) is expected to end on May 11, 2023.
With the end of the Federal PHE, reverification notices will resume to providers with approaching reverification due dates, as well as those whose reverification was suspended during the PHE.
The Centers for Medicare and Medicaid Services (CMS) requires that all Medicaid providers are recredentialed, a process also referred to as reverification. Since March 2020, CMS has allowed for the suspension of reverification due to the Federal PHE, brought on by COVID-19. However, when the period of suspension expires, NC Medicaid must ensure enrolled providers are compliant with the reverification requirement.
- When reverification is due, providers will receive a reverification notice in their Message Center Inbox on the secure NCTracks Provider Portal.
- Due dates for reverification are specific to each provider; therefore, not all providers will receive notices simultaneously. Providers will have 70 days after initial notification to complete the reverification process.
- NC Senate Bill 105 Session Law 2021-180 Section 9D.9(a) temporarily waives the $100 fee for Medicaid enrollment and reverification through June 30, 2023.
- Providers who participated in the Voluntary Reverification Program in early 2023 will not need to repeat the process after the Federal PHE ends.
Once the Federal PHE ends on May 11, 2023, reverification is not optional. Providers who receive a notice of reverification are encouraged to promptly respond. Providers who do not complete the process within the designated timeframe will receive a Notice of Suspension via postal mail and in their NCTracks Message Center Inbox.
The notice informs the provider that they are in suspended status, which will cause all NC Medicaid Direct and NC Medicaid Managed Care claims to go into a pending status.
- Providers have 50 days following notification of suspension to complete reverification.
- Those who do not comply will be subject to termination from the NC Medicaid program.
- Reverification does not apply to any time-limited enrolled providers, such as out-of-state (OOS) providers, who choose to enroll annually.
An updated Active Provider Recredentialing Due Date spreadsheet will be made available under Quick Links on the public facing NCTracks Provider Recredentialing page as the reverification process begins. The spreadsheet for active recredentialing due dates is also accessible on the NC Medicaid Provider Enrollment Credentialing webpage. Providers should monitor their secure NCTracks Message Inbox for notifications and review for the availability of the reverification application in the appropriate section of their NCTracks Status and Management page.
For help with the reverification process, providers can refer to the Provider Re-credentialing/Re-verification webpage in the NCTracks public facing portal. Providers are also encouraged to review Provider Announcements, User Guides, and Frequently Asked Questions.
Contact
NCTracks Call Center: 800-688-6696