Primary Care Doctors and Medical Homes

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When you enroll in Medicaid or Health Choice, you choose a doctor to call or visit each time you need care. This doctor is called your “primary care provider” (PCP). The doctor’s office is called your “medical home.” Your Medicaid or Health Choice ID card will list your PCP and medical home.

You receive regular sick care and well care at your medical home. These services include:

  • Yearly physical check-ups
  • Immunizations
  • Pap smears
  • Prescriptions for medicines when necessary

Other benefits include:

  • You can call your PCP day or night for health advice.
  • Your PCP will refer you to other doctors if you need special care not provided in your primary doctor’s office. Examples of special services may be mammograms or other tests needed to diagnosis a health problem.

Choosing a PCP from Community Care of North Carolina (CCNC)

You may choose any doctor who accepts Medicaid or Health Choice patients to be your PCP. Your county Division of Social Services (DSS) caseworker will help you choose a PCP, if needed.

However, if you choose a doctor who belongs to the Community Care of North Carolina/Carolina ACCESS (CCNC) program, you also can ask for a care manager. Your care manager will help you understand and manage your health. If you have a chronic condition, such as diabetes, your care manager will connect you with available services that fit your specific needs.

CCNC Exemptions

Some Medicaid programs may require you to enroll as a member of CCNC. If you think you should not be enrolled for medical reasons, your county DSS caseworker will provide a medical exemption request form and instructions for your doctor to complete.

Medical Assistance will approve or deny your request. If your request is denied, call your caseworker to choose a health home. If you do not choose a health home, one will be assigned to you.

Changing a PCP

If you want to change PCPs or medical homes for any reason, contact your county DSS caseworker. CCNC also provides a process to file a complaint if you are not satisfied with your CCNC PCP’s service.