The Medicaid and NC Health Choice Provider and Health Plan Lookup Tool provides an online resource for beneficiaries to use while researching and ultimately selecting a health plan and primary care provider (PCP). 

Are you ready? Don’t wait. Prepare Now. 

On March 18, 2021 NC Department of Health and Human Services posted a factsheet in the Provider Playbook entitled Managed Care Eligibility for Newborns: What Providers Need to Know. Read important highlights below: 

Effective April 1, 2021, as part of the transition to Medicaid Managed Care, NC Medicaid will offer time-limited payment to practices that have attested into Advanced Medical Home (AMH) Tier 3 if they can demonstrate successful readiness for AMH Tier 3 responsibilities as set out below.   

NC Medicaid Division of Health Benefits posted a Medicaid Managed Care Provider Update on March 16, 2021.  Below are some important highlights. 

The NC Medicaid Provider Services team is partnering with NC AHEC to host virtual Health Plan Meet and Greet sessions.  NC Medicaid consultants and health plan representatives will be available to address your concerns and questions about the transition from Medicaid fee-for-service to Medicaid Managed Care.  Virtual Meet and Greet sessions are structured as conversations between providers and Managed Care Health Plan staff with a Q&A for participants.  

Medicaid Transformation Provider Services and North Carolina AHEC are conducting a series of Virtual Office Hours for providers beginning in March 2021. These sessions offer an interactive format for providers to have their questions answered.  

Medicaid Managed Care open enrollment will begin March 15, 2021 continuing through May 14, 2021. 

NCDHHS has started mailing enrollment packets statewide and launched new resources for beneficiaries as it prepares for NC Medicaid Managed Care Open Enrollment. 

Medicaid Managed Care Fireside Chat Webinar Series 

Advanced Medical Home, a Medicaid Managed Care Webinar Series