Presumptive Eligibility

Provider Presumptive Eligibility Agreements

 

Effective July 28, 2019, the Presumptive Eligibility Provider Enrollment process transitioned from NC Medicaid to NCTracks. NCTracks now handles the enrollment process for Providers of Presumptive Eligibility for Pregnant Women and Hospital Providers of Presumptive Eligibility for Medicaid Programs.

The requirements have not changed, however, the processes are slightly different for hospital-only providers and other medical/Medicaid providers who serve pregnant women. The appropriate respective form from below should be used. Please send the appropriate Presumptive Eligibility Agreement and Supplement to the Agreement via NCTracks at PresumptiveEligibility@gdit.com.

• Presumptive Eligibility (PE) Provider Agreement for Hospitals
• Hospital Presumptive Eligibility (PE) Supplement to Agreement Authorized Individuals-DHB
• Presumptive Eligibility (PE) Provider Agreement for Pregnant Women
• Presumptive Eligibility for Pregnant Women Supplement to Agreement Authorized Individuals-DHB