Incomplete MCRs and Enrollment Applications

The NCTracks Enrollment Team is receiving a significant number of incomplete Manage Change Request (MCR) and Enrollment applications from providers. Examples of common errors include:

• Supporting documentation not attached – If supporting documentation is required, it must be uploaded and attached prior to submission. Examples of supporting documentation are copies of the applicable consent order, certifications, or Medicare participation. For guidance on how to attach supporting documentation, refer to section 3.30.1 of Participant User Guide PRV111 Provider Web Portal Applications on the secure NCTracks provider portal.
• Incomplete Exclusion Sanction information – The Exclusion Sanction questions must be answered, even if the provider has no legal or disciplinary actions. If the answer to the Exclusion Sanction questions is “yes,” then documentation regarding the disposition of the action must be attached to the application. For more information, refer to section 3.27 of Participant User Guide PRV111 Provider Web Portal Applications on the secure NCTracks provider portal.
• Choosing the incorrect taxonomy code – The taxonomy code selected when submitting an application must accurately reflect the type of provider. The provider must meet the enrollment qualifications for the taxonomy code selected and possess the required licensure and/or credentials. Providers who are uncertain which taxonomy code to select should consult the “Provider Permission Matrix” (and instruction sheet) on the Provider Enrollment page of the NCTracks provider portal. For additional guidance, refer to “How to View and Update Taxonomy on the Provider Profile in NCTracks” on the Provider User Guides and Training page of the NCTracks provider portal.

Errors like the ones cited above delay the review and approval process for applications. Expedited approval depends on submitting a complete and accurate request.