MedicaidAdministrativeHigh impact
Recent Behavioral Health Enrollment Updates for Organizations
NC Medicaid - NCDHHS·NC · Psychiatry, Occupational Therapy·Enrollment
Effective date
Jul 12, 2026
We identified it
Sep 15, 2026
Summary
North Carolina Medicaid updated enrollment requirements for behavioral health providers under the Innovations Waiver Program and Community Intervention Services (CIS), effective July 12 and August 23, 2026. Changes include new accrediting body options (Council on Quality and Leadership), new service types (Outpatient Behavioral Health Service, Facility-based Crisis Service for Children & Adolescents), and new national accreditation requirements for specific services within one year of enrollment.
Action Required
By July 12, 2026: Billing and credentialing teams must update NCTracks enrollment records for any Innovations Waiver providers under Taxonomy 251S00000X to recognize Council on Quality and Leadership (CQL) as a selectable accrediting body option. By August 23, 2026: Update enrollment records to reflect service changes including: (1) Remove 'Professional Treatment Services in Facility-Based Crisis Program - Child Service' and add 'Facility-based Crisis Service for Children & Adolescents'; (2) Require DHSR Mental Health Licensure (MHL) documentation for Psychosocial Rehabilitation services; (3) Ensure 'Professional Treatment Services in Facility-Based Crisis Program – Adult' has national accreditation documentation within one year of enrollment. Immediately: Verify which services your organization provides and confirm accreditation status requirements. Update enrollment checklists to flag services requiring accreditation within 12 months (1915i Community and Living Supports, 1915i Respite, 1915i Supported Employment, and Adult Facility-Based Crisis services). Contact NCTracks Call Center (800-688-6696) or Provider Ombudsman (866-304-7062) if your organization's current enrollment does not align with these changes. Failure to update accreditation status or maintain required licensure will result in enrollment suspension and claim denials.