Over the past few months, the North Carolina Division of Medical Assistance (DMA) has been notifying physicians across the state who need to recredential in order to continue as a participating Medicaid provider. DMA is required to recredential physicians and physician groups a minimum of every three years to ensure that their information is up-to-date and accurate in DMA’s Enrollment, Verification and Credentialing (EVC) system. Those physicians and practices that do not complete their recredentialing applications by the deadline will have to re-enroll and pay any applicable fees, during which time Medicaid claims will not be paid. 

Medical groups that need to recredential will be notified next week via email or United States mail. Physicians and practices will have 30 days to complete and submit a web-based application through NCTracks. Questions or individual concerns should be directed to the NCTracks website, or to the CSC EVC Operations Center at 866-844-1113.

NCMS staff also notified members of its 10 specialty societies who are on the most recent list provided by CSC, Medicaid’s enrollment and credentialing vendor, encouraging them to look for correspondence from CSC and to take action within the required timeframe in order to avoid being terminated from the program.

Related Bulletin article:

Medicaid Continues Massive Recredentialing Effort, Notifies Hundreds of NC Physicians This Week (6-1-12)