Upcoming Layout Changes for PPM

Coming in 2026, the Provider Permission Matrix (PPM) column, DOES-SRVC-RQRE-ACCREDITATION (column AG), will be modified for taxonomy 251S00000X - Community/Behavioral Health Agency to inform whether national accreditation is required within one or three years of the initial enrollment with the selected SERVICE (column AF). The information in the DOES-SRVC-RQRE-ACCREDITATION informs providers of their need to gain national accreditation from one of the entities identified in the SERVICE-ACCREDITATION-TYP column (AI) within the timeline specified.

This will apply to all state designations and health plans, as applicable. For more information, please visit the Program Specific Clinical Coverage Policies on the North Carolina Department of Health and Human Services (NCDHHS) website. The PPM, as well as a Provider Permission Matrix Instructions job aid are available on the NCTracks Provider Enrollment webpage.

In addition, providers with an active taxonomy 251S00000X on their record must ensure they are enrolled with at least one SERVICE-TYPE (column AE). The PPM displays available Services and the criteria required to enroll with that Service. The option to choose taxonomy 251S00000X without a service type will soon be removed from the PPM.

Contact

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