NC Health Choice has moved to Medicaid

Effective April 1, 2023, NC Health Choice beneficiaries automatically moved to the Medicaid program. There is no action needed by beneficiaries or providers.

What changes for beneficiaries?

As part of Medicaid, beneficiaries still get the same health benefits, plus they:

• Do not have enrollment fees or copays 
• Are eligible for Non-Emergency Medical Transportation (NEMT) for Medicaid-covered services
• Have pregnancy and 12-month postpartum coverage
• Are eligible for Early & Periodic Screening, Diagnosis and Treatment (EPSDT); a benefit to discover and treat health conditions before they become serious   

Will beneficiaries get a new Medicaid ID card?

Beneficiaries keep their Medicaid ID number (also called recipient number). A new Medicaid ID card will arrive in the mail. Until then, keep using the current ID card.

Will beneficiaries need to find a new provider?

Nearly all providers who accepted NC Health Choice also accept Medicaid.

What do providers need to do?

Providers should continue to verify a beneficiary’s eligibility through NCTracks using their Medicaid ID number.

More

• NC Health Choice Move to Medicaid Provider Questions and Answers fact sheet - March 28, 2023
• NC Health Choice Move to Medicaid: Timeline for Claims Adjudication and Process for Prior Approvals - Feb. 6, 2023
• NC Health Choice Move to Medicaid Provider Fact Sheet - Jan. 31, 2023
• NC Health Choice Move to Medicaid Beneficiary Fact Sheet - Jan. 25, 2023   English I Spanish

Contacts

NC Medicaid Contact Center

888-245-0179