A Credentialing Committee will be established and will be responsible for reviewing NC Medicaid practitioner files that contain flagged items for disposition of their enrollment, reenrollment, and recredentialing applications as well as issues discovered through ongoing monitoring.

This will apply to all providers contracted with NC Medicaid, Division of Mental Health, Developmental Disabilities and Substance Use Services (DMH/DD/SUS), Division of Public Health (DPH), Office of Rural Health (ORH) and all NC Medicaid Managed Care health plans. The tentative launch date for the Credentialing Committee is Fall 2025.

Any related questions can be sent to Medicaid.credcommittee.stakeholders@dhhs.nc.gov.

Contact

For more information email medicaid.credcommittee.stakeholders@dhhs.nc.gov