If you are 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. To ask to stay in NC Medicaid […]
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 […]
Each health plan has its own set of doctors and health care providers, who make up its network. To keep your doctor, clinic or other provider, ask which health plans they accept, then choose to enroll in one of those health plans. The NC Medicaid Managed Care website also features a provider search tool that […]
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 cannot change your health plan until your next recertification date unless you have a special reason. You can change your health plan at any time for these reasons: You […]
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 […]
The same services will continue to be covered. However, the doctors you can go to will be based on the health plan’s provider network. Your Medicaid copays will not change.
Because each health plan works with a network, or group of doctors, hospitals and other health care providers, you should choose a health plan that will let you keep going to your doctors and other health care providers. All health plans offer the same basic benefits and services. Some may also offer added services. When […]