MedicaidAdministrativeMedium impact
Off-cycle Provider Reverification Taking Place This Fall for Certain Providers
NC Medicaid - NCDHHS·NC·Provider Bulletin
We identified it
Jul 17, 2026
Summary
NC Medicaid is conducting expedited off-cycle provider reverification this fall for high-risk and atypical providers, focusing on NPIs that haven't been reverified in the last 12 months or are due within 12 months. Affected providers will receive notifications with specific submission deadlines in late September 2026 via NCTracks secure messaging and email.
Action Required
By late September 2026: Providers identified on the 'CMS_HighRisk_Atypical' tab in the Active Provider Reverification Report must monitor their NCTracks secure Provider Message Inbox and email for reverification notification letters containing specific application submission deadlines. Billing teams should ensure provider credentialing staff are prepared to submit required reverification documentation by the stated deadline to maintain active enrollment status with NC Medicaid. Failure to complete reverification by the deadline may result in provider deactivation and claim denials. Contact NCTracks Call Center (800-688-6696) or Provider Ombudsman (866-304-7062) for questions about reverification status or submission requirements.