Federal Enrollment Application Fee Increase for Calendar Year 2020

The federal fee for Medicaid enrollment has increased from $586 for calendar year (CY) 2019 to $586 for CY 2020 is $595.

NCTracks is now providing a record of federal fees and NC Enrollment fees by year so that providers can note the price changes. This can be found under Quick Links on the provider enrollment home page by clicking on the link Federal Fees & NC Enrollment Fees by Year.

The N.C. Division of Health Benefits (DHB) collects the federal fee as required under Section 1866(j)(2)(C)(i)(l) of the Affordable Care Act (ACA) from certain Medicaid and N.C. Health Choice (NCHC) providers. The Centers for Medicare & Medicaid Services (CMS) set the fee, which may be adjusted annually.

The federal fee is required for the following:

• Initial enrollment application
• Re-enrollment application
• Manage Change Request (MCR) to add a new site location
• Re-verification application

This fee only applies to certain organizations. Refer to the Provider Permission Matrix under Quick Links on the Provider Enrollment page to determine provider-specific enrollment requirements. For more information on the federal fee, see the Federal Fee and NC Application Fee FAQs. Additional information can also be found here.