Provider Playbook: NC Medicaid Managed Care

Tailored Plans Launched July 1, 2024

North Carolina launched the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans on July 1, 2024. This is an integrated health plan for individuals with behavioral health needs and intellectual/developmental disabilities (I/DDs).

Tailored Plans also serve other special populations including Innovations and Traumatic Brain Injury (TBI) waiver enrollees and waitlist members and is responsible for managing the state’s non-Medicaid behavioral health, developmental disabilities and TBI services for uninsured and underinsured North Carolinians.

This webpage is your "Provider Playbook," a place where you can access the latest information, tools and other resources to help you and your patients smoothly transition to NC Medicaid Managed Care. Visit the Provider Playbook often as resources will be added as they become available.

Contacts

NC Medicaid Contact Center

Phone: 888-245-0179

Provider Ombudsman

For provider inquiries, concerns, complaints regarding health plans
Medicaid.ProviderOmbudsman@dhhs.nc.gov
Phone: 866-304-7062

NCTracks Call Center

Phone: 800-688-6696

Health Plan Contacts and Resources