North Carolina To Strengthen State Medicaid Provider Enrollment Process After Audit Reveals Problems

The North Carolina Department of Health and Human Services (DHHS) intends to strengthen the state Medicaid provider enrollment process after a state audit of the DHHS Division of Medical Assistance (DMA) processes found errors and lack of supporting documentation in approved provider organization applications. About 20% of the 13,843 applications approved by  Computer Sciences Corporation, Inc. (CSCI), DMA’s outsourced provider enrollment contractor, lacked one or more of the four mandatory verification checks required by the contract. About 65% of the 843 higher risk enrollment application files forwarded by CSCI to DMA for review, and later approved by DMA . . .