Federal Provider Enrollment Application Fee Increase for Year 2026

The federal fee for Medicaid enrollment will increase to $750 for calendar year 2026.

The Centers for Medicare & Medicaid Services (CMS) Federal Register 90 FR 55738 (see Medicare, Medicaid, and Children's Health Insurance Programs; Provider Enrollment Application Fee Amount for Calendar Year 2026) finalized provisions related to the submission of application fees as part of the Medicaid provider enrollment process for institutional providers and suppliers. This fee is adjusted annually based on the consumer price index for all urban consumers (CPI-U).  

Beginning Jan. 1, 2026, the federal fee for Medicaid enrollment will increase from $730 to $750 for calendar year 2026. This will be required as noted on the Provider Permission Matrix for: 

  • Initial enrollment;
  • Re-enrollment;
  • Adding a new owner or a new site location; and
  • Re-verification.

NCTracks provides a record of federal fees and NC Enrollment fees by year so providers may note the updates. The Federal Fees & NC Enrollment Fees by Year spreadsheet can be found under Quick Links on the Provider Enrollment page

Additional information regarding the federal fee can be found on the public-facing NCTracks provider portal Federal Fee and NC Application Fee FAQs page

Contact

NCTracks Call Center: 800-688-6696

Provider Ombudsman: 866-304-7062

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