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News & Press: Updates for Members

NC Medicaid Provider Suspensions Due to Expiring Credentials

Thursday, July 21, 2022   (0 Comments)
Posted by: Valerie Arendt

Beginning in May 2021, NC Medicaid started taking additional steps, as outlined in the NCTracks Changes to Provider Verification Process bulletin, to ensure providers meet their contractual obligation to maintain their credentials on their NCTracks provider enrollment record.  Multiple bulletin articles were published to notify providers of the change, and providers received four targeted reminders prior to their suspension notification. Regardless of these efforts to inform and assist providers with this responsibility, NC Medicaid continues to see a fairly large number of providers suspended, and subsequently terminated, from the NC Medicaid program due to their expired credential. 

 

On June 30, 2022, approximately 725 NC Medicaid providers with a Social Worker taxonomy were suspended due to an expired credential. These providers have sixty days from the date of suspension to ensure that their license is renewed and their NCTracks provider enrollment record is updated to avoid termination. Providers may update their NCTracks provider record through the Manage Change Request process. NCTracks User Guides and Fact Sheets offer basic instructions for making the necessary update and any additional questions may be referred to the NCTracks Call Center at 800-668-6696.

 

NASW-NC encourages licensed social workers to participate in NC Medicaid to provide services to the most vulnerable North Carolinians as we continue to advocate for the expansion of Medicaid.

 

Please feel free to reach out if you have questions or concerns about your participation as an NC Medicaid provider: varendt.naswnc@socialworkers.org


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