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.

NC Credentialing Committee Bylaws - Public Review Period ending July 22, 2025

Per NCDHHS' commitment to transparency and stakeholder engagement and feedback, the NC Credentialing Committee Bylaws are now available for your review and feedback. Please share comments, questions and feedback via email at medicaid.credcommittee.stakeholders@dhhs.nc.gov by the end of the review period, July 22, 2025. Thank you for your input.

New Webinar Series

NC Medicaid Provider Enrollment
NCDHHS-DHB Credentialing Committee Initiative Stakeholder Engagement Session #3

Please join NC AHEC and the North Carolina Department of Health and Human Services (NCDHHS), Division of Health Benefits (DHB), for the third stakeholder teleconference on June 25 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 third forum 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.
  • A deeper dive into the roles of committee members.
  • Status of committee bylaws.
  • Review of frequently asked questions and answers pertaining to the development of this project.

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

  • June 25, 2025
  • July 30, 2025
  • August 27, 2025
  • September 24, 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!

Register here for the Credentialing Committee Initiative Webinar Series

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 06/26/2025