FAQ

Where is the Medicaid portal?Medicaid.gov: The Official U.S. Government Site for Medicaid and CHIP Services.

How do I verify my Medicaid provider eligibility in NC?

1. 1. Access the NCTracks Portal:

   Navigate to the NCTracks website according to NCTracks. 

   • NC Medicaid

     https://medicaid.ncdhhs.gov

     Confirming Medicaid Coverage for Beneficiaries

     Aug 5, 2021 — To update your information, please log into the NCTracks provider portal to verify your information and submit a Manage Change Request.

   • NCTracks (.gov)

     https://per.nctracks.com

     Provider Enrollment FAQs

     Navigate to NCTracks: https://www.nctracks.nc.gov.

     

2. 2. Log in or Register:

   If you are an existing provider, log in using your credentials. If you are a new provider, you will need to register and complete the enrollment process. 

   • NC Medicaid

     https://medicaid.ncdhhs.gov

     Provider Enrollment | NC Medicaid

     NCTracks Provider Enrollment provides the online application and a checklist for provider qualifications and requirements.

   • NCTracks (.gov)

     https://per.nctracks.com

     Provider Enrollment FAQs

     Navigate to NCTracks: https://www.nctracks.nc.gov.

     

   • NCTracks (.gov)

     https://www.nctracks.nc.gov

     Currently Enrolled Provider (CEP) Registration – Currently Enrolled Provider (CEP) Registration

     Legacy DHHS providers are required to complete the Currently Enrolled Provider Registration process to provide our new system, NCTracks, with several critically…

     

   • Automated Benefit Services

     https://www.abs-tpa.com

     Providers – Verify Benefits

     New providers must submit a registration form to access.

     

   • Alliance Health

     https://www.alliancehealthplan.org

     Comprehensive Provider Application Request Form

     If you are a new provider seeking to join the Alliance Health network, you must consult our service needs list prior to submitting this application. All relevan…

3. 3. Verify Information:

   Once logged in, you can verify your own information and update it as needed. 

   • NC Medicaid

     https://medicaid.ncdhhs.gov

     Confirming Medicaid Coverage for Beneficiaries

     Aug 5, 2021 — To update your information, please log into the NCTracks provider portal to verify your information and submit a Manage Change Request.

4. 4. Manage Change Request:

   If you need to make changes to your provider information, submit a Manage Change Request through the portal. 

   • NC Medicaid

     https://medicaid.ncdhhs.gov

     Confirming Medicaid Coverage for Beneficiaries

     Aug 5, 2021 — To update your information, please log into the NCTracks provider portal to verify your information and submit a Manage Change Request.

5. 5. Check for Updates:

   Keep an eye on the NCTracks website for updates and announcements related to provider enrollment and managed care, says NC Medicaid. 

   • NC Medicaid (.gov)

     https://medicaid.ncdhhs.gov

     NC Medicaid Managed Care Provider Update February 17, 2025

     Feb 17, 2025 — The form is located on the NCTracks Providers webpage under Quick Links.

   • NC Medicaid (.gov)

     https://medicaid.ncdhhs.gov

     North Carolina Medicaid Special Bulletin All Providers Provider Data Contractor for Medicaid Managed Care: Guidance for Provider

     As noted in a previous article, https://files.nc.gov/ncdma/documents/files/Medicaid-Bulletin-2018- 10. pdf, Medicaid providers are encouraged to update their en…

     

   • NCTracks (.gov)

     https://www.nctracks.nc.gov

     Centralized Credentialing Vendor Selected for NC Medicaid – Centralized Credentialing Vendor Selected for NC Medicaid

     As noted in a previous article, Medicaid providers are encouraged to update their enrollment records in the NCTracks provider portal.

   • Partners Health Management

     https://www.partnersbhm.org

     Transition of Care Frequently Asked Questions July 20, 2021 Question: What is the last date that Standard Plans must honor exis

     Jul 20, 2021 — Answer: Yes. NC Medicaid routinely updates this information. As of this writing, it was updated in July. Please visit the NC Medicaid Provider Playb…

     

What is NC Medicaid called now?North Carolina’s Transformation to NC Medicaid Managed Care

On July 1, 2021, most Medicaid beneficiaries began receiving the same Medicaid services under NC Medicaid Managed Care. With managed care, beneficiaries choose a health plan and get care through the health plan’s network of doctors.

What is the phone number for NC Medicaid provider?Providers with questions about the NCTracks online enrollment application can contact the CSRA Call Center at 800-688-6696; 919-851-4014 (fax), or [email protected].

https://www.nctracks.nc.gov/content/public/providers.html

Providers of services from the Division of Mental Health/Developmental Disabilities/Substance Abuse Services should contact their LME/MCO to obtain information.

https://www.nctracks.nc.gov/content/public/NCTracks-Provider-Portal?flow=PP

Access the secure NCTRacks Portal. The NCTracks Web Portal contains information that is private and confidential.