Re-verification requirement for NC Medicaid

The Centers for Medicare and Medicaid Services (CMS) requires that all Medicaid providers are recredentialed, a process also referred to as reverification. Since March 2020, CMS has allowed for the suspension of reverification due to the Public Health Emergency (PHE) brought on by COVID-19.

According to the Statement of Administrative Policy [whitehouse.gov] from the Executive Office of the President, published Jan 30, 2023, the federal PHE is expected to end on May 11, 2023. With the end of the federal PHE, reverification notices will resume to providers with approaching reverification due dates, as well as those whose reverification was suspended during the PHE.  

Once the federal PHE ends on May 11, 2023, reverification is not optional. Providers who receive a notice of reverification are encouraged to promptly respond. Providers who do not complete the process within the designated timeframe will receive a Notice of Suspension via postal mail and in their NCTracks Message Center Inbox.

For more information, please see Medicaid bulletin article Provider Reverification to be Reinstated at End of Federal Health Emergency. [medicaid.ncdhhs.gov]