As a reminder, re-credentialing/reverification is an evaluation of a provider’s ongoing eligibility for continued participation in NC Medicaid, normally conducted every five years as mandated 42 CFR 455.414. Reverification is required for continued participation with NC Medicaid programs.
Now that the federal PHE has ended, NC Medicaid must ensure that all enrolled providers, including those whose reverification was delayed, are compliant with the federal regulation. Providers for whom reverification was delayed have been organized into groups to ensure the timely completion of the reverification process. For more information on provider reverification, see the Provider Reverification Reminder bulletin from June 20, 2023.
As a convenience, NC Medicaid offers a list of “Active Provider Re-Verification Due – July 2023 – Dec 2023” dates (updated biannually). The reverification due date displayed is also the suspension date if no action is taken to submit the reverification application under the applicable NPI. If the provider record is suspended, claims payment will stop until the reverification application is submitted.
Providers are encouraged to review the reverification due date list, and frequently check their NCTracks Provider Message Inbox for notifications or the reverification section of the Status and Management page in the NCTracks secure portal for the option to reverify.
