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NC Medicaid Managed Care Health Plan Merger

WellCare of North Carolina and Carolina Complete Health merged on April 1, 2026. The name of the new unified NC Medicaid Managed Care health plan is Carolina Complete Health.

The new health plan is available to Medicaid beneficiaries statewide. For more information visit the merger webpage. 

Review and Correct Enrollment Data to Ensure Your Information Displays Correctly in NC’s Provider Directory

Providers may utilize multiple resources to review and confirm the accuracy of basic data from their NCTracks provider record. 

Although primarily for beneficiary use, the public version of the Medicaid Provider and Health Plan Lookup Tool is also available to providers at: https://ncmedicaidplans.gov/. Providers may use this tool to confirm the availability and accuracy of information contained in their NCTracks provider enrollment record.

The Standard Plan Provider Directory Listing and Affiliation Report (generated May 15, 2026) and the Tailored Plan Provider Directory Listing and Affiliation Report (generated May 15, 2026) contains information for all active NC Medicaid individual and organization providers. More specifically designed for providers, and filterable to a single or batch of providers, the reports identify:

  • Primary Care Providers (PCPs) and Specialty providers contracted with a Health Plan and/or Tribal Option
  • NC Medicaid Direct providers who are not participating in managed care
  • Organization affiliation information for individual providers (Affiliated Organization section)
  • Providers slated to be included in the auto-assignment process due to their identification as an Advanced Medical Home (AMH) or PCP contracted provider (SP/TP Managed Care Health Plan sections)

Providers are contractually obligated to maintain their NCDHHS provider enrollment data and must act to correct erroneous demographic and affiliation data on their enrollment record in the secure NCTracks Provider Portal using the NCTracks Managed Change Request (MCR) process. A Field Description tab is available on the report to connect the section of the MCR to the field in the report displaying the information. 

If the Affiliated Organization information is incorrect, the Office Administrator for the affiliated Individual provider record must update the organization affiliation on the individual provider record. 

Providers unable to find their NPI/location associated correctly with the appropriate Health Plans should reach out directly to the Health Plan to discuss contracting options. Contact information can be found on the Health Plan Contacts and Resources webpage.

Additional information on updating an NCTracks provider record can be found here or by calling the NCTracks Contact Center at 800-688-6696. 

Note: This report combines the information previously offered on the Provider Directory Listing Report and Provider Affiliation Report into one report

Provider Ombudsman

The Division of Health Benefits (DHB) has created a Provider Ombudsman to represent the interests of the provider community by receiving and responding to inquiries and complaints regarding health plans. The Ombudsman will provide resources and assist providers with issues through resolution.

Provider Ombudsman inquiries, concerns or complaints can be submitted to Medicaid.ProviderOmbudsman@dhhs.nc.gov, or providers may utilize the Provider Ombudsman line at 866-304-7062. The Provider Ombudsman contact information will also be published in each health plan's provider manual.

Practice Support and Technical Assistance

NC Medicaid, in partnership with NC Area Health Education Centers (AHEC), offers education and engagement, outreach and practice-level technical assistance to essential practices on transition processes, regional-focused training events, and quality initiatives as NC Medicaid transitions to managed care. This high-level interaction is intended to help Medicaid providers successfully transition to managed care.
 
This support will also focus on rural and independent practices, including on-site coaching and technical assistance. For questions, email Practicesupport@ncahec.net.

New Primary Care Provider Change Request Form for Members in Managed Care Health Plans

In collaboration with PCPs, the NC Medicaid Managed Care health plans have created a new standardized PCP Change Request Form for members who wish to change their primary care assignment throughout the year. A link to each health plan’s form can be found here:

As a reminder, beneficiaries can change their PCP/Advanced Medical Home (AMH) without cause twice each year. For more information, please see New Primary Care Provider Change Request Form for Members in Managed Care Health Plans.

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This page was last modified on 05/20/2026