How do I get behavioral health, intellectual and developmental disability (I/DD) or traumatic brain injury services prior to Tailored Plan launch?

Prior to Tailored Plan Launch April 2023, you can continue to receive your health services through NC Medicaid Direct and LME/MCO. If you are currently enrolled in NC Medicaid Direct, call 888-245-0179. In NC Medicaid Direct, you may be able to get services from a Local Management Entity/Managed Care Organization (LME/MCO). For a list of NC Medicaid Direct behavioral health, I/DD and TBI services, go to NC Medicaid Direct services.

If you are currently enrolled in a Standard Plan and need to access behavioral health, I/DD, or substance use disorder services, you may submit a request to move to NC Medicaid Direct, including your LME/MCO. Use the Request to Move to NC Medicaid Direct and LME-MCO: Beneficiary form. (link coming soon)

If you are a provider, you may ask for a person to move to NC Medicaid Direct. Use the Request to Move to NC Medicaid Direct (Fee for Service) and LME-MCO: Provider form. (link coming soon)

You can use this website to submit your form. It is the fastest and best way to submit a form. To learn more, go to Submit forms online.

If you enroll in a Standard Plan, you may not be able to get certain NC Medicaid Direct services.