Provider Reverification Requirements to be Reinstated With the end of the Federal Public Health Emergency, NCTracks will resume the provider reverification process.
As the federal Public Health Emergency (PHE) comes to an end, so does the suspension of reverification for providers enrolled in NC Medicaid. Beginning Summer of 2022, providers will begin receiving reverification notices again. These notices will be sent 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 revalidated (also referred to as reverification / recredentialing). Since March 2020, CMS has allowed for the suspension of reverification due to the PHE caused by COVID-19. However, the period of suspension is anticipated to expire in summer 2022 and the NC Medicaid must ensure enrolled providers are compliant with the reverification requirement.
Providers will receive a reverification notice in their Message Center Inbox on the secure NCTracks Provider Portal when reverification is due. Due dates for reverification are specific to each provider; therefore, not all providers will be receiving notices simultaneously. Providers have 45 days after notification to complete the reverification process. NC Senate Bill 105 Session Law 2021-180 Section 9D.9(a) temporarily waived the $100 fee for Medicaid enrollment and reverification, through June 30, 2023.
Reverification is not optional. Providers who receive a notice for reverification are encouraged to promptly respond and begin the online process.
- Providers who do not complete the process timely 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 and their claims will not process.
- Providers have 30 days following notification of suspension to complete reverification.
- Those who do not comply will be terminated from the Medicaid program.
Reverification does not apply to time-limited out-of-state (OOS) enrolled providers.
For help with the reverification process, providers can refer to: https://www.nctracks.nc.gov/content/public/providers/provider-recredentialing. Providers are also encouraged to review Provider Announcements, User Guides and Frequently Asked Questions.
NCTracks Call Center: 800-688-6696