Effective June 1, 2025, NCTracks will implement a system change to align the suspension of Division of Mental Health, Developmental Disabilities and Substance Use Services (DMH/SS/SUS) health plans with NC Medicaid health plans during the reverification process.
What’s Changing
Currently, only NC Medicaid health plans are suspended when a provider fails to complete reverification. Beginning June 1, 2025:
- When a provider’s NC Medicaid health plans are suspended for failing to complete reverification, their DMH/DD/SUS health plans will also be automatically suspended.
- While suspended, Local Management Entity (LME) batch processes cannot be used to update the provider's record. Any batch update attempts will be rejected with an error message indicating the provider is not in active status.
- A one-time update will also be applied to currently active provider records to align DMH/DD/SUS health plan status with NC Medicaid suspensions. No new notices will be sent as part of this update.
Who is Affected
- Providers enrolled with both NC Medicaid and DMH/DD/SUS health plans.
- DMH/DD/SUS-only providers are not affected by this change.
Contact
NCTracks Call Center, 800-688-6696