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.
Meeting Announcements
Join the North Carolina Department of Health and Human Services (NCDHHS), Division of Health Benefits (DHB), for the second stakeholder teleconference 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 second forum will offer stakeholders the opportunity to engage in meaningful dialogue about the committee’s role in making final determinations regarding evidence of compliance and regulatory requirements by NC Medicaid provider applicants. You can expect to receive updates on the project's anticipated timeline and milestones as well as responses to previous questions received from the stakeholder community. The meeting will be recorded.
These sessions are intended to be interactive. You are encouraged to bring your questions and comments for further discussion.
For questions or more information, please contact Medicaid.credcommittee.stakeholders@dhhs.nc.gov
NCDHHS-DHB Credentialing Committee Initiative
Stakeholder Engagement Session #2
Wednesday, May 28, 2025, 2 – 3 p.m.
Join the meeting here
Meeting ID: 241 438 825 536 3
Passcode: Yo7Yq6JC
Dial in by phone:
+1 984-204-1487,395145869# United States, Raleigh
Find a local number
Phone conference ID: 395 145 869#
Join on a video conferencing device
Tenant key: ncgov@m.webex.com
Video ID: 118 879 611 2
Resources
- Credentialing Committee - March 25, 2025
- Credentialing Committee Stakeholder Presentation 1 - April 30, 2025
- Provider Credentialing Committee Coming Soon bulletin - April 25, 2025
Contact
For more information email medicaid.credcommittee.stakeholders@dhhs.nc.gov
This page was last modified on 05/27/2025