The North Carolina Department of Health and Human Services (NCDHHS), through General Dynamics Information Technology, Inc. (GDIT), will establish a Credentialing Committee to review files that contain flagged items for disposition of their enrollment, reenrollment and recredentialing applications and issues discovered through ongoing monitoring. This will apply to all providers enrolling with:
- NC Medicaid
- Division of Mental Health, Developmental Disabilities and Substance Use Services (DMHDDSUS)
- Division of Public Health (DPH)
- Office of Rural Health (ORH)
- NC Medicaid Managed Care health plans
The tentative launch date for the Credentialing Committee is Fall 2025.
The proposed Credentialing Committee Bylaws is a policy document that defines:
- Purpose and authority
- Risk level criteria
- Membership structure (voting, non-voting members and peer reviewers)
- Membership eligibility requirements
- Roles and responsibilities
- Confidentiality, conflict of interest and nondiscrimination policies
- Meeting logistics (including agenda, minutes and frequency)
- Provider profile packages
NCDHHS is committed to transparency and welcomes stakeholder feedback. The proposed Credentialing Committee Bylaws are available for your review and feedback:
- NC Credentialing Committee Bylaws
- NC Credentialing Committee Confidentiality, Conflict of Interest and Non-Discrimination Attestation
Please share comments, questions and feedback regarding the proposed bylaws through email at medicaid.credcommittee.stakeholders@dhhs.nc.gov by July 22, 2025. Input is greatly appreciated, as stakeholder contributions are important to the success of this initiative.
Additional resources, including a fact sheet, webinar information and frequently asked questions are available on the Credentialing Committee webpage.