All applicants must be in good standing with all applicable oversight entities.
"Good standing" means that the applicant is in compliance with the standards and requirements of all applicable oversight entities; has submitted all required documents, payments and fees to the U.S. Internal Revenue Service, the N.C. Department of Revenue, N.C. Secretary of State, the N.C. Department of Labor, and the N.C. Department of Health and Human Services (DHHS) and its Departments and Divisions; has not filed for or is not currently in Bankruptcy; and has not had any sanctions imposed against it, including, but not limited to the following:
- Any Local Management Entity/Managed Care Organization (LME/MCO): Contract Termination or Suspension, Referral Freeze, non-compliance with a Plan of Correction, Past Due Overpayment, Prepayment Review, Payment Suspension
- NC Department of Health and Human Services
- NC Medicaid/NC Division of Health Benefits: Contract Termination or Suspension, Payment Suspension, Prepayment Review, Outstanding Final Overpayment.
- DMH/DD/SAS: Revocation, Unresolved Plan of Correction.
- U.S. Internal Revenue Service: Unresolved tax or payroll liabilities.
- NC Department of Revenue: Unresolved tax or payroll liabilities.
- NC Department of Labor: Unresolved payroll liabilities.
- NC Secretary of State: Administrative Dissolution, Revocation of Authority, Notice of Grounds for other reason, Revenue Suspension; providers organized as a corporate entity must have a “Current – Active” registration with the NC Secretary of State.
- Boards of Licensure or Certification for the applicable Scope of Practice
Please confirm that you are in good standing with the above requirements.