Provider Playbook: Medicaid Managed Care

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 Medicaid Managed Care. Visit the Provider Playbook often as resources will be added as they become available.

    Additional Key Milestone Dates

    • June 15, 2022 – Enrollment Broker provider directory updated to include Tailored Plan providers
    • July 16, 2022 – Last day for providers to have fully executed contracts with PHPs for inclusion in the first day of the beneficiary choice period
    • Aug. 1, 2022 – Beneficiaries will be assessed to confirm qualification for Tailored Plan. Beneficiaries that no longer qualify will receive a notice from the Enrollment Broker about their choices 
    • Aug. 15, 2022 – Beneficiary Choice Period begins; Beneficiaries can choose a Primary Care Provider (PCP) by contacting their Tailored Plan 
    • Aug. 15, 2022 – Tailored Plan Auto-Enrollment begins. Enrollment Broker begins mailing Enrollment Packets to beneficiaries 
    • Sept. 15, 2022 – Last day for PCPs to have fully executed contracts with PHPs for inclusion in PCP AutoAssignment
    • Sept. 30, 2022 – Last day for Tailored Care Management providers to have fully executed contracts with PHPs for inclusion in Tailored Care Management Auto-Assignment
    • Oct. 14, 2022 – Last day for beneficiaries to choose a PCP before PCP auto-assignment 
    • Oct. 15, 2022 – PCP Auto-Assignment (by Tailored Plan) for beneficiaries who have not chosen a PCP 
    • Dec. 1, 2022 – Tailored Plan launch

    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

    https://medicaid.ncdhhs.gov/providers/provider-playbook-medicaid-managed-care