List Of Medicaid Health Plans Nc

Home NC Medicaid Managed Care

Home 30 People Used

On December 1, 2022, NC Medicaid will have a new type of health plan. It is called the Behavioral Health and Intellectual/Developmental Disabilities (I/DD) Tailored Plan (Tailored Plan). People who need certain services to address a mental health disorder, substance use disorder, intellectual/developmental disability (I/DD) or traumatic brain injury (TBI) may qualify for the …

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NC Medicaid Direct Services NC Medicaid Managed Care

Medicaid 53 People Used

What is NC Medicaid Direct? NC Medicaid Direct is North Carolina’s health care program for Medicaid beneficiaries who are not enrolled in health plans. It includes care management by Community Care of North Carolina (CCNC), the primary care case management entity (PCCMe). Six Local Management Entity-Managed Care Organizations (LME-MCOs) coordinate services …

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Tailored Plan Services NC Medicaid Managed Care

Tailored 48 People Used

What is a Tailored Plan? A Tailored Plan is a North Carolina Medicaid and NC Health Choice health plan. It offers physical health, pharmacy, care management and behavioral health services. It is for members who may have significant mental health needs, severe substance use disorders, intellectual/developmental disabilities (I/DDs) or traumatic brain injuries (TBIs). …

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NC Provider Directory – Medicaid And NC Health Choice …

Provider 59 People Used

The public version of the Medicaid and NC Health Choice Provider and Health Plan Lookup Tool is now available. Providers are encouraged to use this tool to confirm the availability and accuracy of information contained in their NCTracks provider enrollment record. The provider directory contains all active Medicaid and NC Health

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Health Plan Comparison Chart

Health 28 People Used

Eye care To see the full list of NC Medicaid covered services provided by the health plans, go to . Health plans also have added services. To compare added services, see the other side. 1-866-799-5318. TTY: 711. 7 a.m. to 6 p.m., Monday through Saturday. Statewide (all 100 counties) 1-800-349-1855. TTY: 711.

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Nc Medicaid Managed Care Plans

Medicaid 48 People Used

The NC Medicaid Enrollment Call Center number is 833-870-5500 . The free mobile app, called NC Medicaid Managed Care, is available on Google Play or the App Store. Mailings of enrollment packets are being done in batches and should arrive at …

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North Carolina Managed Medicaid Plans

North 55 People Used

Beneficiaries can reach the NC Medicaid Enrollment Call Center at 833-870-5500 or download the app on Google Play or the App Store. The NC Medicaid enrollment website is also a resource for members to select a health plan.. The next important milestone for providers it to ensure they execute a contract before April 12th, so you are included in the period of auto …

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Tailored Plans – NC Medicaid Ombudsman

Tailored 40 People Used

There are six LME-MCOs in North Carolina: Alliance Health, Eastpointe, Partners Health Management, Sandhills Center, Trillium Health Resources, and Vaya Health. How are Tailored Plans different from what the LMEs do now?

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NC Medicaid Managed Care FAQs UNC Health Chapel Hill, NC

Medicaid 57 People Used

Learn More. For help, call the Ombudsman at 877-201-3750. The NC Medicaid Ombudsman office hours are 8 a.m. to 5 p.m., Monday through Friday. The office is closed on state holidays. If no one answers, leave a message with your name and phone number. They will call you back by the next business day.

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Preferred Drug List NC Medicaid NCDHHS

Preferred 40 People Used

PDL_February_1_2020.pdf. NC Medicaid and Health Choice Preferred Drug List (PDL) effective Feb. 1, 2020. PDF • 683.71 KB - January 27, 2020.

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Services Covered Outside Health Plans, Drug List, And Copays

Services 60 People Used

Drug formulary (list) To learn more about your prescription drug benefits under NC Medicaid, use the NC Medicaid Preferred Drug List (PDL) on the Learn page at Copays Some health plan members may have a copay. A copay is a fee you pay when you get certain health care services or prescriptions. Medicaid copays: Service Your

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Prepaid Health Plans In North Carolina Medicaid Managed Care NC

Prepaid 64 People Used

The North Carolina Department of Health and Human Services (NC DHHS) is committed to ensuring that Prepaid Health Plans (PHPs) are appropriately licensed by the NC Department of Insurance (NC DOI) and meet solvency and other financial requirements to participate and remain in North Carolina Medicaid managed care.

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Frequently Asked Questions

What kind of Health Plan do I need for NC Medicaid?

Most people in NC Medicaid must enroll in a Standard Plan in the NC Medicaid Managed Care program. But health care choices depend on the person’s specific situation. Skip to main content Change text size English Español LearnLearn about NC Medicaid Managed Care NC Medicaid Managed Care health plans Benefits and services Copays Get answers

How do I Find my NCNC Medicaid Managed Care number?

NC Medicaid Managed Care health plans are now active. This means that you will now get care through your health plan. If you have questions about benefits and coverage, call your health plan. You can find the number on your new Medicaid ID card or visit View health plans.

Does UnitedHealthcare offer Medicaid in North Carolina?

With one of the widest networks in North Carolina, UnitedHealthcare is proud to offer health care coverage to over 1.4 million North Carolinians through Medicaid, Medicare, Exchanges and Commerical plans, for over 30 years. See NC Plan Options Medicaid: More for You in 2021

When did NC Medicaid Managed Care Start?

NC Medicaid Managed Care started July 1, 2021 NC Medicaid Managed Care health plans are now active. This means that you will now get care through your health plan. If you have questions about benefits and coverage, call your health plan.

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