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.

New Webinar Series

NCDHHS-DHB Credentialing Committee Initiative Stakeholder Engagement Session #5

Please join NC AHEC and the North Carolina Department of Health and Human Services (NCDHHS), Division of Health Benefits (DHB), on August 27 from 2-3 p.m. to continue the discussion of a new initiative led in tandem with General Dynamics Information Technology (GDIT). This initiative will establish a Credentialing Committee aimed at maintaining a high-quality, ethical, and competent provider network to support NC Medicaid beneficiaries.

This session will offer stakeholders:

  • A collaborative forum to discuss the committee’s future role in the provider enrollment and credentialing process to determine compliance of regulatory requirements by NC Medicaid provider applicants.
  • Committee member recruitment and onboarding.
  • Status of committee bylaws.
  • Review of frequently asked questions and answers pertaining to the development of this project.
  • High level project timeline.

The sessions are intended to be interactive as the Department values input from partnering stakeholders, and will occur monthly, as follows, until the project implementation:

  • September 24, 2025

Register for upcoming Credentialing Committee Initiative Sessions here.

You are encouraged to submit your related questions and comments for targeted open discussion at the meetings to Medicaid.credcommittee.stakeholders@dhhs.nc.gov.
We look forward to connecting with you!

Resources

Medicaid Credentialing Committee Questions and Answers

Contact

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

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This page was last modified on 08/05/2025