How to Get Credentialed with NC Medicaid in North Carolina
Quick Overview
Timeline
30 - 60 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
Delegated
No
North Carolina-Specific Requirements
Medicaid Information — North Carolina
Agency: NC DHHS, Division of Health Benefits
Program: NC Medicaid Managed Care
Portal: https://www.nctracks.nc.gov
Phone: 1-800-688-6696
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for North Carolina.
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.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.
Required Documents Checklist
Background Check
Federal/state background check required for Medicaid enrollment
CV/Resume
Work history required
Malpractice Insurance
ConditionalRequired in most states; some state programs waive for government employees
Medical License
NPI Certificate
Enrollment Forms
NC Medicaid Provider Enrollment (NCTracks)
RequiredContact Information
Provider Enrollment
National1-800-688-6696
General Provider Inquiries
National1-800-688-6696