Enrollment and Contracting
NEW INFORMATION FOR PROVIDERS:
PROVIDER ENROLLMENT & CONTRACTING INSTRUCTIONS
The Sandhills Center Tailored Plan is a closed network. Exceptions to join are considered on a case-by-case basis, determined by current geographical and clinical areas of need.
Sandhills Center maintains an open network for Medicaid providers of physical health and pharmacy services. All network contracting decisions for providers of physical health and pharmacy services are based solely upon the credentialing information provided by the North Carolina Department of Health and Human Services (NCDHHS).
The following services are exceptions identified through our gaps analysis:
- Bi-lingual providers/therapists.
- Sex offender treatment specialists.
- Enrolled professionals to develop behavioral health plans.
- I/DD psychological testing.
Interested providers are advised to contact Network Operations to determine Sandhills Center's current identified needs. If you believe your request meets exception criteria and you are registered in NCTracks to provide the service you are requesting, please complete the Request to Join Network (PDF) form and submit it to: ProviderJoin@SandhillsCenter.org. A Request to Join Network form must be completed with all requests to be considered.
If you are currently contracted as a Licensed Independent Provider (LIP) under an agency or hospital in the Sandhills Center Tailored Plan Network and want to become a solo LIP, or if you are a solo LIP that wants to apply as an agency, please send a Change of Business Model request e-mail to ProviderJoin@SandhillsCenter.org. To determine if your request meets the criteria for an exception, please send a letter of justification that demonstrates the value that this change would bring to the Sandhills Center network.
Requests should include a list of specialty areas of practice for which you are rostered and certified, years of experience, and the number of Sandhills Center Medicaid members you currently serve (or estimate you will serve), and current referral sources. Please include a copy of your resume (and in the case of an agency request, all resumes for providers who will practice with you).
Only sites and services you are registered to provide in NCTracks are eligible for consideration.
Please send justification, along with the Request to Join Network form, and submit it to ProviderJoin@SandhillsCenter.org. Submitted documentation is reviewed per Sandhills Center policies/procedures regarding exception requests. All new providers/sites/services must be approved by the Sandhills Center Tailored Plan Board of Directors prior to the provision of any services. The effective date of service will be included in any approval notices.
Upon a decision of the reviewed request, a notification will be emailed.
Have questions? Submit enrollment questions here.