What if I need Non-Emergency Medical Transportation (NEMT)?

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Under Medicaid Managed Care, the new health plans must provide non-emergency medical transportation (NEMT) services for all Medicaid eligible individuals who need and request assistance with transportation. Health plans may use transportation brokers to arrange and provide transportation or contract directly with transportation providers. For beneficiaries in NC Medicaid Direct and the Eastern Band of […]

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When can I switch health plans?

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You can change your health plan for up to 90 days after the start date shown on your health plan enrollment letter. After 90 days, you must wait until your next recertification date to change health plans unless you have a special reason. You can change your health plan at any time for these reasons: […]

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Do I have to change doctors?

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Each health plan has its own set of doctors and health care providers, who make up its network. Most people were able to keep their same doctors when moving to managed care. The NC Medicaid Managed Care website also features a provider search tool that will tell you which health plans your providers have joined, […]

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What are the health plans I can choose from/change to?

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AmeriHealth Caritas (offered statewide) 855-375-8811 (TTY: 866-209-6421) 24 hours a day, seven days a week amerihealthcaritasnc.com Carolina Complete Health (only available in certain regions of the state) 833-552-3876 (TTY: 711) 7 a.m. to 6 p.m., Monday through Saturday carolinacompletehealth.com Healthy Blue (offered statewide) 844-594-5070 (TTY: 711) 7 a.m. to 6 p.m., Monday through Saturday HealthyBlueNC.com […]

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How and when do I choose a health plan?

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Open Enrollment ended May 21, 2021. If you did not choose a health plan by this date, you were auto-enrolled in a health plan to ensure you could continue to get care. Most people were able to keep their same doctors. Each health plan works with a network, or group of doctors, hospitals and other […]

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What should I do to prepare for the change?

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Make sure your local Department of Social Services (DSS) has your current mailing address, phone number and email address so you get all important notices about this change (especially if your contact information has changed due to COVID-19). Visit ncmedicaidplans.gov  or call 833-870-5500 to learn more. You can also stay up-to-date by using the free […]

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When are these changes happening?

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Coverage under the NC Medicaid Managed Care program begins July 1, 2021. If you did not choose a health plan or request to stay in NC Medicaid Direct by May 21, 2021, you were automatically enrolled in a health plan to ensure you could continue to get care.  Most people were able to keep their […]

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