Who has the option to choose a health plan?

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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 […]

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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, or if you want to change plans. You can […]

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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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Who must enroll in Medicaid Managed Care?

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Most NC Medicaid beneficiaries have been enrolled in the NC Medicaid Managed Care program. Some people will stay in NC Medicaid Direct (formerly known as fee-for-service). They will not need to choose a health plan. Those who are now in managed care should have received a new Medicaid ID card and other important information from […]

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What is NC Medicaid Managed Care?

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This year, most people in North Carolina with Medicaid will see a change in how they receive their health care. If you have NC Medicaid, you may have received a letter asking you to enroll in a health plan. If you didn’t pick a health plan by the deadline, the State chose one for you […]

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What is NC Medicaid Direct?

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NC Medicaid Direct was formerly known as fee-for-service. Some people will remain in NC Medicaid Direct because it provides services that meet specific needs. For example, it provides the same services currently covered for developmental disability, behavioral health, traumatic brain injury and substance use disorder. To learn more about NC Medicaid Direct, call the NC […]

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