Selected pathway
North Carolina Home Care / Home Health
Last reviewed: October 17, 2026
What your provider team can prepare
- 1.Identify the agency entity, service locations, responsible contact, and the provider type your team is reviewing.
- 2.Organize current licensure, National Provider Identifier (NPI), ownership, and location details before opening a state or plan process.
- 3.Separate NC Medicaid program requirements from managed-care plan participation or network instructions.
- 4.Keep the current official source, version context, and internal owner for each next step together.
Official-source starting points
North Carolina (NC) Medicaid: Provider EnrollmentOfficial North Carolina Medicaid enrollment information and the NCTracks provider portal starting point.North Carolina Medicaid: Provider InformationOfficial North Carolina Medicaid provider updates and managed-care resources.North Carolina Medicaid: Unannounced Site Visits Effective October 1, 2026Starting October 1, 2026, moderate- and high-risk screening visits are unannounced within a specified timeframe instead of on set dates. Visits already scheduled before then remain scheduled.North Carolina Medicaid: Provider Reverification Application RemindersThe notice gives providers 70 days to complete the application, starting on the date of the first notice. Check the provider-specific notice and NCTracks record for the exact due date.North Carolina Medicaid: DEA Certification for Controlled-Substance Pharmacy Claims (effective November 1, 2026)Official NC-specific notice for the Pharmacy Benefit Administrator’s active DEA certification check, including date-of-service applicability.Centers for Medicare & Medicaid Services (CMS): Home Health AgenciesFederal home health agency standards and Medicare program context.
Keep the boundary clear
This navigator is educational preparation, not payer or program direction. Requirements and timing vary, so review the current official state, federal, and named-plan materials that apply to your provider, location, service, and question.