Disaster Relief Applications for Health Care Professionals Not Currently Enrolled as an NC Medicaid Provider

The NC Department of Health and Human Services is committed to ensuring continued access to care for NC Medicaid beneficiaries, as well as reimbursement to qualified providers for services rendered, in good faith, throughout the period of potential impact from Hurricane Dorian, which is forecasted to impact our state beginning Sept. 4, 2019.

The Centers for Medicare & Medicaid Services (CMS) granted approval on Sept. 4, 2019, for DHHS to implement a temporary, expedited enrollment process for health care professionals to become an NC Medicaid provider due to a natural disaster. This process is not for providers who regularly see NC Medicaid beneficiaries.

Health care professionals who will be rendering services to NC Medicaid beneficiaries due to Hurricane Dorian can complete and submit an application through the NCTracks Provider Portal. Please refer to the disaster provider enrollment job aid (Disaster Relief Provider Enrollment Application Job Aid (PRV703) located under Quick Links on the NCTracks Provider Enrollment home page for necessary instructions to complete the temporary disaster provider enrollment application. Be sure to review the job aid before starting to complete the application, as several preliminary steps are necessary.

Providers must indicate the application is for Disaster Relief by answering “Yes” to the Disaster Relief enrollment question on the Basic Information page of the application.   

Note: This is not for providers who see NC Medicaid recipients on a regular basis.

Please review North Carolina Medicaid Provider Enrollment Disaster Relief and Waiver or Modification of Requirements Under Section 1135 of the Social Security Act from the Secretary of Health and Human Services for additional information.

Governor Cooper’s Declaration of a State of Emergency can be found at: https://files.nc.gov/governor/documents/files/EO101-Declaration-of-SOE_Hurricane-Dorian.pdf