Extension Process

Per NCGS § 90-414.4 (a2) the NC HIEA, in consultation with the Department of Health and Human Services (DHHS), has established a process to grant limited extensions of the time for providers and entities to connect to NC HealthConnex and begin submitting data as required by law.

The NC HIEA and DHHS understand that many health care providers will not be able to connect to NC HealthConnex by the mandated deadlines. The General Assembly has permitted the NC HIEA and DHHS to receive and grant extensions to health care providers if they can meet certain criteria. If your organization would like to request a connection extension, you must meet all of the following criteria:

  • Have signed an NC HIEA Participation Agreement
  • Can demonstrate how your organization plans to connect to NC HealthConnex within one (1) calendar year

If your organization can comply with these criteria and you need to request an extension, please complete the form.

Important Information

  • Your organization can only request an extension if your connection deadline is within the next six (6) months.
  • That is, if your deadline is June 1, 2019, the first day that you can submit an extension request form is December 1, 2018. Extensions received prior to the permitted period will be rejected and the provider must resubmit the extension request within 6 months of their deadline.
  • Extensions will last until the next connection deadline provided by law.
  • Your organization can request additional extensions if you are unable to connect to NC HealthConnex by your extended deadline.
  • All health care providers must connect to NC HealthConnex by June 1, 2020, as required by law, so no extension deadlines will be set beyond June 1, 2020.
  • This process is not a request for a waiver/exemption from the state’s requirements, but an extension of time to meet the state’s requirements.

Extension Request Form

Frequently Asked Questions


  • Please complete the form electronically in its entirety and submit to hieaextensions@nc.gov
  • The email should contain as the subject: Extension Request and Date.
  • Incomplete forms will not be considered.