NC Medicaid Managed Care Health Plan Assignments Completed for Beneficiaries | Eastern North Carolina Now

Press Release:

    RALEIGH — The North Carolina Department of Health and Human Services today announced all Medicaid beneficiaries currently eligible to transition to managed care have selected or been assigned a health plan with 97% enrolled in a plan that includes their current primary care provider (PCP) in network.

    As a result, nearly all current beneficiaries will keep the same health care provider they have today when managed care launches on July 1. That means more families can continue to visit the practices and doctors who know them best and are familiar with their specific health care needs.

    Beneficiaries who did not select a health plan during open enrollment, which ended on May 21, were auto-enrolled in a plan. NCDHHS' auto-enrollment process prioritized existing relationships between beneficiaries and their PCP and, where possible, a plan that has contracted with that provider was selected for the beneficiary. A summary of NC Medicaid Managed Care enrollment by plans and regions can be found HERE. Confirmation notices and health plan welcome packets will be mailed to beneficiaries through June 12. Beneficiaries have until Sept. 30, 2021 to change plans for any reason.

    "Ensuring beneficiaries have access to the health care they need on Day 1 of Medicaid Managed Care has been a key priority throughout this process," said Deputy Secretary of NC Medicaid Dave Richard. "This is an important step to ensuring continuity of care for the 1.6 million Medicaid beneficiaries who will begin receiving their care through health plans on July 1."

    Federally recognized tribal members living in the tribal service area who did not choose a health plan were enrolled into the Eastern Band of Cherokee Indians (EBCI) Tribal Option. The EBCI Tribal Option is primarily offered in five counties: Cherokee, Graham, Haywood, Jackson and Swain to federally recognized tribal members and others eligible for services through Indian Health Service (IHS).

    Whether beneficiaries chose a plan during open enrollment or were auto-enrolled by NC Medicaid, everyone will have through Sept. 30, 2021, to change their health plan or primary care provider for any reason by contacting the NC Medicaid Enrollment Broker. After that, unless there is a special reason, beneficiaries must wait until their next Medicaid recertification date to change health plans.

    Most beneficiaries in NC Medicaid must be enrolled in a managed care health plan. More information can be found on the "Do I Need to Choose a Health Plan?" fact sheet. Beneficiaries are encouraged to visit the NC Medicaid Enrollment Broker website HERE or call the Enrollment Broker at 833-870-5500 (TTY: 833-870-5588) with any additional questions.


  • NC Department of Health and Human Services
  • 2001 Mail Service Center
  • Raleigh, NC 27699-2001
  • Ph: (919) 855-4840
  • news@dhhs.nc.gov

Go Back


Leave a Guest Comment

Your Name or Alias
Your Email Address ( your email address will not be published)
Enter Your Comment ( no code or urls allowed, text only please )




NC Providers Increase Equitable Vaccine Distribution With NCDHHS Census Tract COVID-19 Map North Carolina Health, Body & Soul, Health and Fitness NCDHHS Urges North Carolinians to “Vax up or Mask up” Following CDC Guidance on Face Coverings


HbAD0

Latest Health and Fitness

A subsidiary of one of the largest health insurance agencies in the U.S. was hit by a cyberattack earlier this week from what it believes is a foreign “nation-state” actor, crippling many pharmacies’ ability to process prescriptions across the country.
The John Locke Foundation is supporting a New Bern eye surgeon's legal fight against North Carolina's certificate-of-need restrictions on healthcare providers.
The North Carolina Department of Health and Human Services today released the following statement on the Trails Carolina investigation:
The North Carolina Department of Health and Human Services today released a draft of its 2024-25 Olmstead Plan designed to assist people with disabilities to reside in and experience the full benefit of inclusive communities.
The North Carolina Department of Health and Human Services will host a live fireside chat and tele-town hall on Tues., Feb. 20, from 6 to 7 p.m., to discuss how to support and improve heart health as well as prevent and manage heart disease.
The North Carolina Department of Health and Human Services is investing $5.5 million into the FIT Wellness program, part of the North Carolina Formerly Incarcerated Transition Program in the UNC School of Medicine, to improve reentry services for the justice-involved population.
As of Feb. 1, 2024, 346,408 newly eligible North Carolinians are enrolled in Medicaid and now have access to comprehensive health care, according to the North Carolina Department of Health and Human Services’ Medicaid Expansion Enrollment Dashboard.
Controversy surrounds a healthcare provider’s decision to block parents from having access to their children’s prescription records.
Members of the North Carolina Rural Health Association (NCRHA) visited Washington, D.C., on Feb. 14, 2024, to meet with elected officials and advocate for policies to improve access to care in rural areas.

HbAD1

The North Carolina Department of Health and Human Services today released the request for proposal to hire the organization that will help manage the Children and Families Specialty Plan.
As part of its commitment to improve the health and well-being of North Carolina children and families, the North Carolina Department of Health and Human Services today announced the launch of its Child Behavioral Health dashboard.
February is National Children's Dental Health Month, and the North Carolina Department of Health and Human Services is emphasizing the importance of children's dental hygiene to overall health and well-being.
The North Carolina Department of Health and Human Services distributed funds this week to county departments of social services to help improve placements for children in DSS custody who have complex behavioral health needs.
The North Carolina Department of Health and Human Services will host a live fireside chat and tele-town hall Tuesday, Feb. 6, from 6 to 7 p.m., to discuss Medicaid expansion updates and resources, who is newly eligible and how to apply for health coverage.
A new state audit has revealed a troubling trend for student attendance records in six North Carolina school districts during the COVID-19 pandemic.
The North Carolina Department of Health and Human Services is committed to developing a more skilled and satisfied caregiver workforce to improve the quality of care and support available to people with Intellectual and Developmental Disabilities (I/DD)
North Carolina leaders today released a new report on the state’s caregiving workforce, announcing the next steps in strengthening this critical group of workers.

HbAD2

 
Back to Top