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 #6

Please join the North Carolina Department of Health and Human Services (NCDHHS), Division of Health Benefits (DHB), on September 24, 2025, 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.

Register for the Credentialing Committee Initiative Webinar Series 

The sessions are intended to be interactive as the Department values input from partnering stakeholders and will be the last in the series of six occurring monthly meetings, leading to the project implementation in October 2025.

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

Tab/Accordion Items

The public meetings will cover the following agenda items: call to order, review of previous minutes and review of open action items, review of statistics from clean and low risk files approved the prior week.

All remaining business to include ongoing monitoring findings and medium/high-risk profiles will be reviewed in a closed session to prevent the disclosure of information that is privileged or confidential pursuant to the law of this State and/or the United States.  

Meeting Frequency

The Credentialing Committee will meet every Wednesday on a weekly basis. The public portion of the meeting will take place from 11:45 a.m.- noon, followed by the closed session from noon - 1 p.m.

Meeting Information:

Meeting Agenda - Oct. 8, 2025
Meeting Minutes: Coming soon, after meetings begin

Meeting Access:

A weekly call-in number to be provided closer to the meeting dates

Medicaid Credentialing Committee Questions and Answers

Contact

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

On

This page was last modified on 09/12/2025