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. 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, […]
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: […]
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.
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 […]