Effective Sept. 28, 2025, NCTracks is implementing a new attestation process for Individual and Atypical Individual providers as part of initial enrollment, re-enrollment and reverification applications submitted through the secured provider portal of NCTracks. This change aligns with the National Committee for Quality Assurance (NCQA) standards. 

Also in North Carolina, NCTracks will capture an Individual provider's race, ethnicity, and languages spoken during Individual provider enrollment, re-enrollment, manage change requests, and reverification applications.  

Responses will not be shared outside of the North Carolina Department of Health and Human Services and will be used only for internal purposes. 

For questions, please contact the NCTracks Contact Center at 1-800-688-6696. 

Also in North Carolina, the Board of Pharmacy has published its list of seven pages of rules and determined that every one of these rules are necessary except for some rules dealing with administrative or operational conduct of the Board of Pharmacy. These rules are not being amended but are being readopted, as necessary. The comment period ends for these rules on Thursday, September 11, 2025. Here is a link to all of the rules under review .  

Any person wishing to submit public comments must do so by September 11, 2025. Submit written comments by mail to Jay Campbell, Executive Director, North Carolina Board of Pharmacy, 6015 Farrington Road, Suite 201, Chapel Hill, NC 27517; by fax (919) 246-1056; or by e-mail ncboprulemaking@ncbop.org. 

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

General Dynamics Information Technology (GDIT) is now accepting applications for non-voting, volunteer peer review members of the Department of Health and Human Services (NCDHHS) Credentialing Committee. For background and details on the Credentialing Committee, please see the announcement from NCTracks entitled Coming Soon: NCDHHS Credentialing Committee.  

Providers interested in being considered for peer review roles should submit their resume to: ncmedicaidcredcomm-candidate@gdit.com. 

For more information about the Credentialing Committee and related resources, including Fact Sheets and links to the stakeholder webinar series, visit the NCDHHS Credentialing Committee webpage.  

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

With no full budget agreement in sight, state lawmakers reached a deal on a 31-page mini-budget, HB 125: Continuing Budget Operations, which now heads to Gov. Josh Stein (D). The bill allocates over $1 billion in funding, including step increases for public school teachers, support for K-12 growth and Medicaid rebase funding, critical dollars needed annually to cover changing Medicaid costs.

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

Due to issues at the Department of Motor Vehicles (DMV), the state legislature passed SB 391, extending the expiration of drivers’ licenses by two years. These expired licenses remain valid for driving, but other uses, like alcohol, tobacco and certain pharmacy sales, are affected. The Board of Pharmacy allows pharmacies to accept expired licenses for dispensing controlled substances. However, pseudoephedrine sales are more complicated, as license scans feed into a national database. NACDS’ in-state partner, North Carolina Retail Merchants Association (NCRMA), is working with legislators to clarify rules for businesses over the next two years. 

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

SB 479, the Supporting Community Retail Pharmacies and Improving Transparency (SCRIPT) Act, has been signed by Gov. Josh Stein (D). Effective upon signature, the bill extends the current Medicaid reimbursement paid to pharmacies from July 1, 2026, to June 30, 2031. Additionally, it makes sweeping reforms to pharmacy and prescription drug regulations by expanding patient choice; increasing transparency and oversight of PBMs and pharmacy services administrative organizations (PSAOs); strengthening fair reimbursement and network practices; mandating drug price disclosures; and enhancing consumer protections across the state.

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

The Department of Health and Human Services Commission for Mental Health, Developmental Disabilities and Substance Abuse Services (Commission) proposed to amend, via permanent procedures, Rule 10A NCAC 26E .0406, Disposal of Unused Controlled Substances from Nursing Home. The Commission also proposes adopting, via permanent procedures, Rule 10A NCAC 27G .3605, Medication Units and Mobile Units. Both proposed rules are available on the Commission for MH/DD/SAS Proposed Rules page.  

The public comment period for both rules runs June 17 through August 15. Written comments on the proposed rule must be submitted electronically to dmhddsasrules@dhhs.nc.gov or mailed to W. Denise Baker, 3001 Mail Service Center, Raleigh, NC 27699-3001. 

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

Effective May 20, the Pharmacy and Medical Boards approved slight changes to the statewide protocol governing pharmacist initiation of hormonal contraceptive therapy. The North Carolina Association of Pharmacists' Hormonal Contraceptive Toolkit has been updated to reflect these changes, and the North Carolina Association of Pharmacists (NCAP) produced an excellent short video explaining the changes.  

Also in North Carolina, broader guidance on qualifying immunizing pharmacists' authority to initiate certain drug therapy is available online at the Board of Pharmacy's website.  

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

NACDS and representatives from member companies met with Senate and House leadership in North Carolina to advocate for key priorities related to PBM reform, with a focus on SB 479 and HB 163. In addition, we participated in the NC Retail Merchants Association Spring Legislative Reception.

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

The legislative session has reached the crossover deadline, the point by which bills must pass their chamber of origin to remain viable this session. Bills that did not meet this deadline are ineligible for carryover to 2026. However, the crossover rule does not apply to budget and appropriations bills, study bills, local bills or constitutional amendments.

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.