NC Medicaid
Credentialing and enrollment guides for NC Medicaid across 1 states.
Quick Overview
Timeline
30 - 60 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
States Available
1
About NC Medicaid
NC DHHS, Division of Health Benefits — NC Medicaid Managed Care
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Prepare Your Application
Complete NC Medicaid's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to NC Medicaid. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with NC Medicaid?
Our specialists handle the entire NC Medicaid enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Background Check
CV/Resume
Malpractice Insurance
Required in most states; some state programs waive for government employees
Medical License
NPI Certificate
Enrollment Forms
NC Medicaid Provider Enrollment (NCTracks)
Contact Information
Provider Credentialing
1-800-688-6696
Mon-Fri 8am-5pm
Provider Services
1-800-688-6696
Claims & Billing
1-800-688-6696
Quick Links
Available States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for NC Medicaid-specific credentialing details including timelines, contacts, and local requirements.
NC Medicaid credentialing requirements by state
NC Medicaid enrollment is not identical everywhere. The table below lists what actually differs across the 1 state NC Medicaid operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | Timeline | State-specific notes |
|---|---|---|---|
| North Carolina | Open | 30–60 days | North Carolina Medicaid Managed Care enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the NC DHHS (Department of Health and Human Services) NCTracks provider enrollment portal. (3) Submit application with NC state license, proof of malpractice insurance, and required documentation. (4) Background check including state and federal criminal history is required for all providers. North Carolina transitioned to managed care in 2023 with Standard Plans for most enrollees and Tailored Plans for individuals with significant behavioral health needs. Behavioral health providers accepted include LCMHC, LCSW, and LMFT with active North Carolina licensure. Revalidation is required every 5 years. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified March 22, 2026. Network status changes without notice — confirm before you file.
Common questions about NC Medicaid credentialing
How long does NC Medicaid credentialing take?
NC Medicaid credentialing typically takes 30–60 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does NC Medicaid require CAQH?
No. NC Medicaid does not enroll through CAQH ProView, so credentialing data is submitted directly on NC Medicaid's own application instead. You still need the same underlying documents — license, DEA where applicable, malpractice coverage and work history.
Which states does NC Medicaid operate in?
NC Medicaid has credentialing operations in 1 state. 1 of those 1 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.