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Bulletin: 21-B-04 Extra Prescriptions During a State of Emergency or Disaster

Reminds health benefit plans of compliance requirements for operations under a state of emergency for purposes of obtaining extra prescriptions during a state of emergency View Bulletin
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TPA Registration

TPA Registration

TPA Registration Application - Both Initial and Renewal

Effective March 12, 2020, all TPA registration applications, annual renewal letters, notice of change of ownership, and/or change of officer or directors must be submitted electronically to LHinbox@ncdoi.gov or Citrix Sharefile or other secure filing method, NO ZIP FILES.   Paper filings or notifications will not be accepted for the immediate future.
 
 

Citrix ShareFile Instructions

Registration Application Forms
  • TPA Registration Transmittal (TRANSMTREG 2017.0801)
  • TPA Registration Application
Renewal Notices

Notices of upcoming renewals are  sent by the Department approximately 45 days prior to the expiration of the current registration. The TPA must maintain a current active email account to which the Renewal Notice will
be sent. If an individual’s email
is used,
we must be notified within 10 business days of a change to that email,
pursuant to

All TPA information in our files are confidential,
pursuant to NCGS 58-56-51, therefore;
a third-party filer should not be used for the renewal contact.

NCGGS 58-56-51(
f) requires the TPA to provide a letter annually verifying their status. 

This annual letter must include the company's FEIN number and provide a current email address.   It must also state if there has been a change in contact person or president of the TPA or company address
.  It may 
be sent electronically to lhinbox@ncdoi.gov.

Third Party Administrator Licensing

  • CITRIX ShareFile Instructions
  • TPA Licensing
  • TPA Registration

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