Federal Enrollment Application Fee Increase for Year 2022

The federal fee for Medicaid enrollment has increased from $599 for calendar year (CY) 2021 to $631 for CY 2022.

NCTracks provides a record of federal fees and NC Enrollment fees by year so providers may note the updates. The Federal Fees & NC Enrollment Fees by Year spreadsheet can be found under Quick Links on the Provider Enrollment page.

The N.C. Division of Health Benefits (DHB) collects the federal fee as required under Section 6401(a) of the Affordable Care Act (ACA) detailing that the Secretary is to impose a fee on each "institutional provider of medical or other items or services and suppliers." Based upon provisions of the ACA, this fee will vary from year-to-year based on adjustments made pursuant to the Consumer Price Index for Urban Areas (CPI-U). 

The federal fee is required for the following:

• Initial enrollment application
• Re-enrollment application
• Manage Change Request (MCR) to add a new site location
• Re-verification application

This fee only applies to certain organizations. Please refer to the Provider Permission Matrix under Quick Links on the Provider Enrollment page to determine provider-specific enrollment requirements. For more information on the federal fee, see the Federal Fee and NC Application Fee FAQs. Additional information can also be found here.