---
title: Important Updates on the WellCare and Carolina Complete Health Merger
description: Carolina Complete Health has identified an issue. Practices that previously held only a WellCare of North Carolina Medicaid contract—and no other WellCare contracts—may currently be unable to log in.
image: https://go.northwestahec.wakehealth.edu/hubfs/Designer%20%286%29.png
---

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# Practice Support Update Blog

## [Important Updates on the WellCare and Carolina Complete Health Merger](https://go.northwestahec.wakehealth.edu/practicesupport/important-updates-on-the-wellcare-and-carolina-complete-health-merger-1)

 Apr 14, 2026 7:00:01 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team)

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![carolinacomplete](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/carolinacomplete.png?width=817&height=132&name=carolinacomplete.png)The Northwest AHEC Practice Support team have several important updates to share following the recent merger of **WellCare of North Carolina Medicaid** and **Carolina Complete Health (CCH)**, effective **April 1, 2026**. These updates address provider portal access issues, claim reprocessing timelines, and revised billing guidance for antepartum care.

 

### Temporary Access Issue: WellCare Secure Provider Portal

Carolina Complete Health has identified an issue affecting provider access to the [**WellCare Secure Provider Portal**](https://mailchi.mp/cch-network/wcnc-portal-access) following the merger. Practices that previously held *only* a WellCare of North Carolina Medicaid contract—and no other WellCare contracts—may currently be unable to log in.

This issue has been escalated due to its impact on historical claims activity. A fix has been identified and was deployed **April 3, 2026**. Once deployed, providers should again be able to access the WellCare Secure Provider Portal to submit and review claims with dates of service **prior to April 1, 2026**.

It is important to note that while claims access is expected to be restored, some wraparound functions (including consent forms and the claim reimbursement calculator) will not yet be available as work continues to fully restore portal functionality.

[Additional details are available here.](https://mailchi.mp/cch-network/wcnc-portal-access)

### Interim Guidance: Claims with Dates of Service **Before April 1, 2026**

While portal access is being restored, providers can continue submitting Medicaid claims with dates of service prior to April 1, 2026 through existing electronic pathways. Claims may be submitted via **Availity Essentials** by selecting *WellCare of North Carolina* as the payer, or by EDI using **WellCare Payer ID 14163**.

Once portal access is fully restored, the WellCare Secure Provider Portal will again be available for historical claims submission and review.

---

### No Change for Claims with Dates of Service **On or After April 1, 2026**

Claim submission for services provided on or after April 1, 2026 is **not impacted** by the portal issue. Providers should continue submitting these claims to **Carolina Complete Health** using their established workflows, including the Carolina Complete Health Secure Portal, Availity Essentials (selecting *Carolina Complete Health* as the payer), or EDI using **Payer ID 68069**.

---

### Update on WellCare Claim Reprocessing (Rate Rebase Reversal)

An update is also available regarding WellCare claim reprocessing related to the rate rebase reversal. WellCare did not meet NC DHHS-established timelines for completion, but the claims team is providing regular progress updates.

To date, **over 508,146 claims** have been adjusted and moved to payment, with the remaining claims continuing to be processed daily. The team is currently on track to complete reprocessing by **April 30**, inclusive of all North Carolina tickets received year to date, with remaining activity tracking through April. Any changes to this timeline will be shared as soon as they are known.

 

---

### Revised Guidance: Antepartum Billing Across the Merger Date

Carolina Complete Health has also revised its guidance on antepartum billing and coding following a clarification request. Under **North Carolina Medicaid Clinical Coverage Policy**, CPT code **59426** must be billed using the **date of delivery** as the date of service.

As a result, if the delivery date occurred **prior to April 1, 2026**, the claim should be billed to **WellCare**, even when antepartum visits span the merger date. Practices may be advised that antepartum care beginning before April 1 should continue to be billed to WellCare, even if some visits took place after April 1.

 

![Practice Support Team](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/CircleNWAHEC-2022-3.png?width=100&height=100&name=CircleNWAHEC-2022-3.png)

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- [health professionals (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-professionals)
- [hospital (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hospital)
- [intake (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/intake)
- [leadership (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/leadership)
- [management (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/management)
- [medical provider (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/medical-provider)
- [memory (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/memory)
- [monoclonal antibodies (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/monoclonal-antibodies)
- [north carolina (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/north-carolina)
- [nurse practitioners (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nurse-practitioners)
- [payment (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/payment)
- [podcast (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/podcast)
- [prenatal (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/prenatal)
- [psychology (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/psychology)
- [seniors (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/seniors)
- [sexually transmitted infections (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/sexually-transmitted-infections)
- [social justice (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/social-justice)
- [social work (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/social-work)
- [stress (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/stress)
- [students (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/students)
- [technology (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/technology)
- [women's health (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/womens-health)
- [youth (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/youth)
- [#syphilis (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/syphilis)
- [988 (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/988)
- [ACA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/aca)
- [AI (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ai)
- [CAP (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cap)
- [CNA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cna)
- [CSRS (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/csrs)
- [Case Management (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/case-management)
- [Community Health Worker (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/community-health-worker)
- [Fetal Alcohol Spectrum Disorders (FASD) (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/fetal-alcohol-spectrum-disorders-fasd)
- [Free and Charitable Clinics (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/free-and-charitable-clinics)
- [HEDIS (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hedis)
- [HIPAA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hipaa)
- [Hardship Exception (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hardship-exception)
- [Healthcare Insights (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/healthcare-insights)
- [Heart Health Now (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/heart-health-now)
- [ICD-10 (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/icd-10)
- [Keeping Kids Well (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/keeping-kids-well)
- [MVP (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/mvp)
- [Medicine (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/medicine)
- [NCPHC (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ncphc)
- [Nc Health Choice (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-health-choice)
- [Obstetrics (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/obstetrics)
- [PECOS (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/pecos)
- [PPE (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ppe)
- [PTSD (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ptsd)
- [Pfizer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/pfizer)
- [RSV (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/rsv)
- [Relief Fund (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/relief-fund)
- [SAMHSA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/samhsa)
- [SOGI (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/sogi)
- [STD Update (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/std-update)
- [STUN (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/stun)
- [TPM (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/tpm)
- [access (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/access)
- [aggression (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/aggression)
- [antigen test (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/antigen-test)
- [atrium health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/atrium-health)
- [autism (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/autism)
- [breast cancer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/breast-cancer)
- [broadband access (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/broadband-access)
- [care transitions (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/care-transitions)
- [carolina access (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/carolina-access)
- [carolina complete (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/carolina-complete)
- [chronic kidney disease (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/chronic-kidney-disease)
- [climate change (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/climate-change)
- [cognitive impairment (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cognitive-impairment)
- [colon cancer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/colon-cancer)
- [compliance (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/compliance)
- [conversation (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/conversation)
- [counseling (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/counseling)
- [cultural humility (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cultural-humility)
- [culture (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/culture)
- [de-escalation (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/de-escalation)
- [demographics (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/demographics)
- [discrimination (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/discrimination)
- [diversity and inclusion (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/diversity-and-inclusion)
- [doctors day (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/doctors-day)
- [equity (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/equity)
- [exercise (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/exercise)
- [fda (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/fda)
- [fraud (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/fraud)
- [government shutdown (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/government-shutdown)
- [health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health)
- [health care (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-care)
- [health leadership (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-leadership)
- [healthcare (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/healthcare)
- [heart health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/heart-health)
- [hepatitis (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hepatitis)
- [hiring (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hiring)
- [hiv (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hiv)
- [home health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/home-health)
- [homeless (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/homeless)
- [hosar (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hosar)
- [housing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/housing)
- [human trafficking (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/human-trafficking)
- [hypertension (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hypertension)
- [implicit bias (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/implicit-bias)
- [infant formula (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infant-formula)
- [infection (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infection)
- [infectious disease (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infectious-disease)
- [internet (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/internet)
- [intervention (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/intervention)
- [lantern (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lantern)
- [lock your meds (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lock-your-meds)
- [lung cancer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lung-cancer)
- [maternal health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/maternal-health)
- [motivational interviewing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/motivational-interviewing)
- [nc medical journal (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-medical-journal)
- [oncology (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/oncology)
- [opioid (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/opioid)
- [oral health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/oral-health)
- [outcomes (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/outcomes)
- [payer contracting (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/payer-contracting)
- [phishing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/phishing)
- [physical therapy (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/physical-therapy)
- [physician assistant (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/physician-assistant)
- [prediabetes (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/prediabetes)
- [prior authorizations (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/prior-authorizations)
- [race (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/race)
- [referral (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/referral)
- [regulations (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/regulations)
- [remote patient monitoring (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/remote-patient-monitoring)
- [research (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/research)
- [respiratory care (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/respiratory-care)
- [rn refresher (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/rn-refresher)
- [safety (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/safety)
- [scope of practice (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/scope-of-practice)
- [shelter (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/shelter)
- [smoking (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/smoking)
- [support staff (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/support-staff)
- [surgery (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/surgery)
- [surgical services (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/surgical-services)
- [team based care (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/team-based-care)
- [therapy (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/therapy)
- [training (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/training)
- [transgender (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/transgender)
- [tricare (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/tricare)
- [trillium (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/trillium)
- [united healthcare (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/united-healthcare)
- [virtual (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/virtual)
- [winston-salem (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/winston-salem)
- [winter (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/winter)

See all

### In Case You Missed It... Check Out These Recent Posts

# About Us

The Northwest Area Health Education Center of Wake Forest University School of Medicine provides and supports educational activities and services with a focus on primary care in rural communities and those with less access to resources to recruit, train and retain the workforce needed to create a healthy North Carolina.

[Learn More](https://school.wakehealth.edu/Education-and-Training/Continuing-Professional-Education/Northwest-AHEC)

# Links

- [Course Catalog](http://nwahec.org/)
- [Join Our Email List](https://share.hsforms.com/16F72ZaBBRBqAda7M--9l9w4ewk6)
- [About Northwest AHEC](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec)
- [Continuing Education Services](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec/continuing-professional-development)
- [Contact Support](https://go.northwestahec.wakehealth.edu/support)

# Contact Us

[ahecmktg@wakehealth.edu](mailto:ahecmktg@wakehealth.edu)

 Medical Center Boulevard  
 Winston-Salem, North Carolina

Copyright 2026 | Designed by [HubSpot](https://www.hubspot.com)

<https://www.youtube.com/user/NorthwestAHEC?sub_confirmation=1><https://go.northwestahec.wakehealth.edu/blog/rss.xml><https://www.linkedin.com/company/8087671><https://twitter.com/NorthwestAHEC><https://www.facebook.com/283682715601><https://www.instagram.com/northwestahec>

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