A Message from NCTracks on Behalf of NC Medicaid Important Updates for Case Manager/Care Coordinators - Taxonomy 171M00000X

Individual Enrollment Required for Case Manager/Care Coordinators Offering Community Alternatives Program services 

The Case Manager/Care Coordinator taxonomy (171M00000X) has been available to providers as an Organization enrollment type but is intended for Individual provider enrollment only.

The ability for providers to select this taxonomy under an Individual enrollment type will be added to NCTracks and the criterion for enrollment is displayed on the Provider Permission Matrix, available on the NCTracks Provider Enrollment webpage. This includes providers who offer Community Alternatives Program (CAP)-Consumer Direction, CAP for Children and CAP for Disabled Adults services.

Case Manager/Care Coordinators must ensure correct enrollment before March 1, 2026. To ensure correct enrollment, Case Manager/Care Coordinators currently enrolled under Enrollment Type Organization must complete the following steps, as necessary.

 

Individual Providers:

To enroll with Taxonomy 171M00000X as an Individual Practitioner:

  1. Obtain an individual National Provider Identifier (NPI), through the National Plan and Provider Enumeration System (NPPES).
  2. Complete the provider enrollment process through NCTracks to enroll as an individual with NC Medicaid. Job Aids and resources are available on the NCTracks Provider Enrollment webpage to assist with the enrollment process. 
  3. Affiliate the individual enrolled with taxonomy 171M00000X to the organization NPI billing on their behalf. This can be done during the initial enrollment application or after approval, using the Manage Change Request process. 

 

Organization Providers:

Organization Provider Enrollment Record Changes will also be required. Organizations enrolled with taxonomy 171M00000X will need to enroll with taxonomy 251B00000X. Submit a Manage Change Request making the appropriate taxonomy selection.

 

Contact

  • NCTracks Call Center: 800-688-6696
  • Provider Ombudsman: 866-304-7062