North Carolina Medicaid
Overview
State Medicaid program for North Carolina. Flagged as a high-risk payer at Medallion for systemic enrollment issues.
Active Work / Processes
- After an audit (completed as of 2026-04-16), Medallion is moving to automated application submissions + validation specifically for NC Medicaid to prevent missed training tasks.
- Flagged for 100% QC before submission.
- Training-task workflow: after NCM confirms resubmission, Medallion creates training tasks for providers; providers have 2 weeks to complete.
Pain Points / Open Issues
- Training tasks not consistently created → application rejections. Root cause of a cluster of escalations.
- Providers without NC DEAs are blocked. Example: Dr Suzanne Goh’s missing NC DEA is blocking multiple providers including Michael Stortz (who also needs supervising DEA + board cert copy attached).
- DEA waivers not supported — NCM will not support a DEA waiver for Dr Suzanne Goh until her actual DEA is issued.
Key Facts
- 8 NC Medicaid providers had applications resubmitted recently (~2 days before 2026-04-16).
- Training task completion window: 2 weeks from assignment.
Related Customers
Source History
- 2026-04-16 — A