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Notice to Class of Proposed Settlement of Franklin v. Kinsley

This notice has information about a Jan. 13, 2023, court hearing on whether to approve the proposed Settlement Agreement. The Settlement provides important protections for North Carolina Medicaid beneficiaries.

Read the proposed settlement notice

Start Date for Tailored Plans is April 1, 2023

To ensure beneficiaries can seamlessly receive care on day one, the implementation of Tailored Plans takes place on April 1, 2023.

Read the press release

Healthy Opportunities Pilot Services Available

Qualifying Medicaid Standard Plan members in 33 North Carolina counties may receive housing, transportation and food services through the Healthy Opportunities Pilots.

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Link to watch a video - An overview of NC Medicaid Managed Care

Want to learn more about NC Medicaid Managed Care?

Check out our new video for an overview of NC Medicaid Managed Care and NC Medicaid Direct.

Watch the video

NC Medicaid Managed Care: Info for Beneficiaries

NC Medicaid Managed Care means most Medicaid beneficiaries receive the same Medicaid benefits in a new way – through a health plan’s provider network.

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Beneficiaries

What You Need to Know to Use NC Medicaid Managed Care

Providers

Resources for Medicaid Providers

NC Medicaid Enrollment Broker

The NC Medicaid Enrollment Broker provides services to help NC Medicaid beneficiaries learn about their NC Medicaid health care options, find information about health care options and primary care providers, and enroll in a health care option.

COVID-19 Resources for Medicaid Beneficiaries & Providers

NC Medicaid is committed to ensuring providers have the resources to continue to serving Medicaid beneficiaries without interruption or delays due to the COVID-19 outbreak.

NC Medicaid Ombudsman

The NC Medicaid Ombudsman is a resource to help Medicaid beneficiaries learn more about NC Medicaid Managed Care, understand their rights and responsibilities, and receive referrals for other services that they may need.

Healthy Opportunities Pilots

Tests and evaluates the impact of providing select evidence-based, non-medical interventions related to housing, food, transportation and interpersonal safety and toxic stress to high-needs Medicaid enrollees.

Transformation to NC Medicaid Managed Care

Find out more about the state’s move to managed care.

Get Medicaid

Learn about available programs and services, if you’re eligible and how to apply.

Get Involved

Public notices, proposed policies posted for public comment, fraud and abuse reporting

NC Health Choice Move to Medicaid

Learn more about the NC Health Choice move to Medicaid