Practice Support Update Blog

NC Medicaid Tailored Plans Launch July 1, 2024: Guides and Resources to support you

May 20, 2024 9:35:00 AM / by Practice Support Team


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Starting July 1, North Carolina Medicaid will provide services via 'Tailored Plans' in addition to Standard Plans.

A Tailored Plan is an NC Medicaid Managed Care health plan. It offers physical health, pharmacy, care management and behavioral health services. It is for members with a mental health disorder, substance use disorder, intellectual/developmental disability (I/DD) or traumatic brain injury (TBI).

Now through June 7, 2024, Tailored Plan Beneficiaries are choosing or being auto-assigned a Primary Care Provider.

Starting May 23, 2024, Tailored Plans will mail welcome packets, member handbooks and ID cards to beneficiaries. 

We urge you to review two updated resources from NCDHHS. These provide crucial information and resource links to facilitate this transition.

Day One Provider Quick Reference Guide for Tailored Plans

Fact Sheet: What Providers Need to Know Part 2: After Tailored Plan Launch

Additional references can be found here:

NC Medicaid Tailored Plan Fact Sheets

Be sure you and your practice teams are prepared for Tailored Plan Launch!


Tags: Medicaid, Medicaid Managed Care, Primary Care, Pediatrics, Tailored Plans

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