Alert: Provider Enrollment Packets

On behalf of DMA, CSC is currently carrying out a 12-month process to verify provider information and conduct credentialing activities for enrolled Medicaid providers. Because of ongoing discussions with provider associations related to the Medicaid Provider Participation Agreement, DMA has agreed to extend the time allotted for providers to return the required information to CSC. Providers have been asked to return the packet materials (except as discussed below DO NOT SIGN AND RETURN the Participation Agreement) within 60 days from the date of receipt of the verification packet or February 1, 2010, whichever is later. A provider who has not received a verification package or who has questions about completing the enrollment forms within the package should contact CSC (1-866-844-1113) directly.

DMA and the N.C. Attorney General’s Office are currently reviewing and evaluating provider comments on the Medicaid Provider Participation Agreement that is part of the verification package. DO NOT RETURN that Agreement with the rest of your package until further notice from N.C. Medicaid. It may change substantially!

SembraCare urges you to review the packet of materials carefully before submitting anything. There are legal terms used in that agreement which could have broader or different meanings than you might expect and you should talk to your lawyer about them and what they mean. We will be working on an outline of considerations and things to do to help you in filling out the packet.