GDIT will no longer request supplemental information for undisclosed items discovered during the credentialing and background check process. Failing to inform NC Medicaid through disclosure on the Exclusion Sanction Information page will lead to automatic denial of the application. Depending on the type of application submitted, such as a Re-verification application, additional adverse action can occur up to and including termination of the NCTracks provider record.

When the Exclusion Sanction question asks, “Has the applicant, managing employees, owners, or agents ever…”, it must be answered accurately for anyone listed on the application, and regardless of the length of time since the infraction occurred.

For example, a reportable infraction that occurred five, 10, or even 20 years prior to the application must be disclosed and accounted for with each application submission. In addition, disclosing an infraction once on one application is not sufficient. As long as the applicant, managing employee, owner or agent remains active on the application, disclosure requirements apply for every application wherein the Exclusion Sanction Information page is displayed for response. 

For every Exclusion Sanction question answered affirmatively, providers must submit a complete copy of the necessary supporting documentation and a written explanation related to the infraction that is signed and dated within six months of the application date.

  • This written explanation must be signed by either the individual with the infraction or an Office Administrator (OA) if the infraction is organization related.
  • All dates must align between the documentation provided and the dates reported in the application.
  • If this documentation is not included with the application, NCTracks will inform the provider of the exact reason why the application was deemed incomplete to include an itemization of the supporting documentation missing from the application.
  • Failure to disclose supporting documentation related to an affirmative response will result in a denial of the application.

Additional information is available on the Exclusion Sanction Questions FAQs page, including a recently updated Sanctions and Exclusions Fact Sheet.

For all questions, contact: NCTracks Call Center: 800-688-6696 or Provider Ombudsman: 866-304-7062