What if I don’t think I should have to enroll in a new health plan?

Some people will not need to choose a health plan because of the type of health services they need. They will stay enrolled in NC Medicaid Direct. For example, individuals who receive Innovations Waiver services, Traumatic Brain Injury (TBI) Waiver services or Community Alternatives Programs for Children or Disabled Adults (CAP/C or CAP/DA) services will stay enrolled in NC Medicaid Direct. If you qualify, you can choose the EBCI Tribal Option and keep receiving waiver services.

If you don’t think you should have to enroll in a health plan but got a letter telling you to do so, you can request to remain in NC Medicaid Direct by filling out a form you can find at ncmedicaidplans.gov.

If you are unsure about what type of Medicaid coverage you have, call the NC Medicaid Managed Care Call Center at 833-870-5500.