UPDATE: DHHS Suspends Implementation of Managed Care. Click here to view NC Tracks article (November 20, 2019).
Provided is an article from NCDHHS regarding Q&A on NC Medicaid Managed Care. I've included a few pertinent Q&A from the article, listed below. Please click here for the full article link.
What is NC Medicaid Managed Care?:
NC Medicaid Managed Care helps you get the most out of your Medicaid benefits. Instead of one Medicaid program there are many health plans to choose from. All health plans are required to have the same Medicaid services, such as office visits, blood tests and X-rays. Health plans may also offer added services such as programs to help you quit smoking, eat healthier and have a healthy pregnancy. Health plans work with different doctors and health care professionals. Each plan has its own network of qualified doctors and health care professionals. To keep your doctor, clinic or other provider, find out which plans they work with. Then choose one of those plans. To learn more about NC Medicaid Managed Care, watch Overview of NC Medicaid Managed Care or NC Medicaid Managed Care: Introduction. (the links are in the article)
What do I need to do?:
Choose a primary care provider (PCP)
Choose a health plan – compare the plans and choose the best one for you
Enroll online, use the NC Medicaid Managed Care mobile app, call us toll free at 1-833-870-5500 (TTY: 1-833-870-5588) or fill out and mail back the enrollment form sent to you. To learn more about what you need to do, watch NC Medicaid Managed Care: What You Need to Do. (the links are in the article)
What is a Health Plan?:
A health plan is a group of doctors, hospitals and other health care professionals. They work together to give you the health care you need.
What are the differences between the Health Plans?:
All health plans are required to have the same Medicaid services, such as office visits, blood tests and X-rays. Health plans may also offer added services such as programs to help you quit smoking, eat healthier and have a healthy pregnancy.
There are five health plans available. These include:
WellCare
1-866-799-5318 (TTY: 711) | www.wellcare.com/nc
UnitedHealthcare Community Plan
1-800-349-1855 (TTY: 711) | www.uhccommunityplan.com/nc
HealthyBlue
1-844-594-5070 (TTY: 711) | www.HealthyblueNC.com
AmeriHealth Caritas
1-855-375-8811 (TTY: 1-866-209-6421) | www.amerihealthcaritasnc.com
Carolina Complete Health
1-833-552-3876 (TTY: 711 or 1-833-552-2962) | www.carolinacompletehealth.com
Carolina Complete Health is offered to people who live in these counties: Alexander, Anson, Bladen, Brunswick, Cabarrus, Catawba, Cleveland, Columbus, Cumberland, Gaston, Harnett, Hoke, Iredell, Lee, Lincoln, Mecklenburg, Montgomery, Moore, New Hanover, Pender, Richmond, Robeson, Rowan, Sampson, Scotland, Stanly, Union.
What is the deadline to enroll?:
Members should enroll by December 13, 2019.
What happens after I enroll?:
After you enroll, your health plan will mail you information and new Medicaid card. You will use this Medicaid card to get health care services. Your new health plan will be available starting February 1, 2020. Until your start date, get care and services the way you do now.