Important Enrollment Reminders Regarding Re-verification, Documentation, and Federal Fee/Site Visits

With the end of the federal public health emergency (PHE) re-verification requirements were reinstated. Providers for whom re-verification was delayed are being organized into groups to ensure the re-verification process is completed timely. Currently, groups of approximately 1,000 providers per week are being notified of their requirement to complete the re-verification process, but few have responded. Please complete the re-verification process in a timely manner. Failure to respond to the verification requirements will result in the provider's suspension and termination from the program. For more information and helpful information about re-verification visit the NCTracks Re-credentialing/Re-verification page and the “Provider Reverification Process Update- March 15, 2023” Medicaid Bulletin article on DHB’s bulletin article website.

Due to a high number of returned/withdrawn applications in the NCTracks system, providers are encouraged to review the following important information:

Provider Name on Applications for Re-verification Must Match

The provider name listed on applications for re-verification must match their legal name, name on the NPPES Registry, and their name on any license, certification, and/or accreditation.

Providers can check their listed NPPES name at: https://npiregistry.cms.hhs.gov/search

If the name does not match, do NOT submit the application. Instead send an email to NCTracksprovider@nctracks.com with required documentation attached. See chart on this page: https://www.nctracks.nc.gov/content/public/providers/provider-communications/2022-Announcements0/NCTracks-Helpful-Hints--What-is-the-Process-to-Update-a-Name--DOB--and-or-SSN-on-a-Provider-s-Record-0.html

Documentation Requirements for Exclusion Sanction Questions

Providers are encouraged to review updates to the documentation requirements that took effect on Jan. 29, 2023. Affirmative answers to exclusion sanction questions on all applications, including applications for re-verification, require a written explanation AND supporting documentation.

A thorough written explanation for each question answered affirmatively must be signed and dated by the responsible party within six months of the application date. Failure to disclose documentation related to an affirmative response will result in a denial of the application. A full explanation of the new documentation requirements can be found at: https://www.nctracks.nc.gov/content/public/providers/provider-communications/2023-Announcements/Update-to-Documentation-Requirements-for-Exclusion-Sanction-Questions.html.

More information can also be found in the Exclusion Sanction Questions FAQs.

Federal Fee and Site Visits Requirements are Specific to NPI/Atypical ID and the Address/Location

When asked, “Have you paid the Federal fee for this site to another state or Medicare?” and/or “Have you completed the federal site visit for this site to another state or Medicare?” providers should note that this is specific to the enrolled NPI/Atypical ID and the address/service location. Providers will not be required to complete a site visit if a site visit has been completed for the service location within the past five years.

For more helpful information visit the Common Enrollment Application Issues FAQs page on NCTracks.