County Playbook: Enrollment Materials

North Carolina has suspended the transition of Medicaid to managed care until July 1, 2021. Medicaid beneficiaries will get health services as they do now from the state. Beneficiaries do not need to choose a health plan. Behavioral health services will continue to be provided by Local Management Entities – Managed Care Organizations. All health providers enrolled in Medicaid are still part of the program and will continue to bill the state through NCTracks. Timelines noted within Medicaid Transformation policy papers, fact sheets and other communications will not apply.

Please call the Medicaid Contact Center at 888-245-0179 if you have questions. 

Read more, https://www.ncdhhs.gov/news/press-releases/legislators-adjourn-without-taking-actions-required-medicaid-managed-care-dhhs.
 

The Department of Health and Human Services is committed to providing our county partners with resources to help Medicaid beneficiaries smoothly transition to managed care. This webpage is your "County Playbook," a place where general and detailed information will be stored to help you support North Carolina's transformation to Medicaid Managed Care. Your County Playbook will grow over time, with new documents added as soon as they are available.

FORMS AND TEMPLATES - ENGLISH FORMS AND TEMPLATES - SPANISH
Enrollment Packet Comparison Chart - Oct. 8, 2019 Enrollment Packet Comparison Chart - Oct. 8, 2019
Enrollment Packet Enrollment Form - Oct. 8, 2019 Enrollment Packet Enrollment Form - Oct. 8, 2019
Enrollment Packet Exempt Notice - Oct. 8, 2019 Enrollment Packet Exempt Notice - Oct. 8, 2019
Enrollment Packet Exempt Tribal Option - Oct. 8, 2019 Enrollment Packet Exempt Tribal Option - Oct. 8, 2019
Enrollment Packet Information Sheet - Oct. 8, 2019 Enrollment Packet Information Sheet - Oct. 8, 2019
Enrollment Packet Mandatory and Exempt in Household - Oct. 8, 2019 Enrollment Packet Mandatory and Exempt in Household - Oct. 8, 2019
Enrollment Packet Mandatory Notice - Oct. 8, 2019 Enrollment Packet Mandatory Notice - Oct. 8, 2019
Fact Sheet 6 - Managed Care Populations and Enrollment Notices - Oct. 11, 2019  
Grievance Acknowledgement Notice - Oct. 8, 2019 Grievance Acknowledgement Notice - Oct. 8, 2019
Grievance Resolution Notice - Oct. 8, 2019 Grievance Resolution Notice - Oct. 8, 2019
Managed Care Excluded - Exempt NC Medicaid Direct to Excluded - Oct. 8, 2019 Managed Care Excluded - Exempt NC Medicaid Direct to Excluded - Oct. 8, 2019
Managed Care Excluded - Health Plan to NC Medicaid Direct - Oct. 8, 2019 Managed Care Excluded - Health Plan to NC Medicaid Direct - Oct. 8, 2019
Managed Care Exempt - Assigned to NC Medicaid Direct - Oct. 8, 2019 Managed Care Exempt - Assigned to NC Medicaid Direct - Oct. 8, 2019
Managed Care Exempt - Choose a Health Plan - Oct. 8, 2019 Managed Care Exempt - Choose a Health Plan - Oct. 8, 2019
Managed Care Exempt - Choose a Health Plan Tribal Option - Oct. 8, 2019 Managed Care Exempt - Choose a Health Plan Tribal Option - Oct. 8, 2019
Managed Care Exempt - Newly Exempt Health Plan Member - Oct. 8, 2019 Managed Care Exempt - Newly Exempt Health Plan Member - Oct. 8, 2019
Managed Care Mandatory Notice - Oct. 8, 2019 Managed Care Mandatory Notice - Oct. 8, 2019
Managed Care Region 4 Postcard - Nov. 6, 2019 Managed Care Region 4 Postcard - Nov. 6, 2019
Managed Care Suspension Notice - Dec. 6, 2019 Managed Care Suspension Notice - Dec. 6, 2019
Phase 1 Mandatory and Exempt Date Change Notice Phase 1 Mandatory and Exempt Date Change Notice
Reminder Notice - Oct. 8, 2019 Reminder Notice - Oct. 8, 2019