A person can be an AR until the person applying for Medicaid, or the beneficiary does one of the following: Changes the authorization or contacts their local DSS to let them know person is no longer allowed be their AR. The AR contacts the local DSS for the person applying for Medicaid or beneficiary to […]
FAQ Category: Uncategorized FAQ
No. A person applying for Medicaid, or a beneficiary can call their local DSS and give their voice signature naming the person as their AR. The person who will be the AR must confirm they will be the AR by giving their voice signature.
An AR is needed in cases where a person applying for Medicaid, or a beneficiary cannot make decisions for themselves about their Medicaid.
Staff of a qualified Medicaid provider cannot be an AR for a person applying for or getting Medicaid.
A person applying for Medicaid or a beneficiary can choose someone they trust with their protected health information (PHI) to be their AR. The person applying must understand the kind of information their AR is allowed to see and discuss on their behalf before deciding who to choose. For minors in the custody of a […]
An Authorized Representative (AR) is a person chosen by the someone applying for NC Medicaid or a beneficiary. As an AR, they can discuss the Medicaid application, see the person’s or household’s information and act for the person or household on items regarding the application and benefit information. The AR can be named in writing […]
Tailored Plans offer some behavioral health services that are not available in Standard Plans, including Innovations and TBI Waiver services and State-funded services. To see a list of services offered by Tailored Plans, visit https://ncmedicaidplans.gov/en/tailored-plan-services.
TCM is a new kind of care management for eligible NC Medicaid beneficiaries. The goal of the program is to provide whole person care management to help beneficiaries meet their health goals. Whole person care looks at all the beneficiary’s needs including: Physical health Behavioral health Intellectual and developmental disabilities (I/DD) Traumatic brain injuries (TBI) […]
Yes. Tailored Plans will begin mailing Welcome Packets including a Welcome Letter, Medicaid ID card and Member Handbook May 23, 2024. Make sure your local DSS has your current mailing address, phone number and email address to ensure you get all important information from your Tailored Plan.
Tailored Plans will provide NEMT for all Medicaid-covered services, including carved-out services. This means you will need to call your Tailored Plan, not your local Department of Social Services (DSS), when you need to schedule a ride to a doctor, pharmacy or other health provider. You can begin scheduling rides for appointments on or after […]
