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NC Medicaid »   Providers »   Provider Playbook: Medicaid Managed Care »   Fact Sheets

Fact Sheets

Fact Sheet What Providers Need to Know – After Managed Care Launch

Day One Provider Quick Reference Guide

Department Fact Sheets

Medicaid Transformation
  • Introduction to Medicaid Transformation: Part 1 – Overview - June 14, 2021
  • Introduction to Medicaid Transformation: Part 2 – Enrollment and Timelines - June 14, 2021
  • Eastern Band of Cherokee Indians (EBCI) Tribal Option Overview - Oct. 4, 2021
  • What Providers Need to Know: Part 1 – Before Managed Care Launch - Oct. 4, 2021
  • What Providers Need to Know: Part 2 – After Managed Care Launch - Oct. 4, 2021
  • What Providers Need to Know: Part 3 – Before Tailored Plan Launch - Jan. 3, 2022  
Contracting
  • Tailored Plan Contracting Fact Sheet - May 5, 2022
  • Contracting with Health Plans - Jan. 4, 2021
  • For more information, visit the Provider Contracting with Health Plans page. 
Member Enrollment
  • Plan to plan disenrollment - April 28, 2022
  • Request to Move to NC Medicaid Direct Process - July 15, 2021
  • What is Auto-Enrollment and How Does it Work? - May 25, 2021 - English | Spanish
  • Managed Care Populations (Do I Need to Choose a Health Plan?) - April 29, 2021 - English | Spanish
  • Member Enrollment Part 1 - Health Plan Auto-Enrollment - Oct. 4, 2021
  • Member Enrollment: Part 2 - Primary Care Provider (PCP)/Advanced Medical Home (AMH) Auto-Assignment - Oct. 4, 2021
  • Auto Enrollment Scenarios Presentation - Dec. 30, 2020
Enrollment Broker
  • Medicaid and NC Health Choice Provider and Health Plan Lookup Tool - June 14, 2021
  • For more information on the Enrollment Broker notices and beneficiary materials, visit the Beneficiary Materials page.
Non-Emergency Medical Transportation

For Non-Emergency Medical Transportation (NEMT) fact sheets, please see the NEMT page on the County Playbook

Programs and Services
  • Provider Postpartum Fact Sheet - March 21, 2022
  • Children and Youth Transitioning to Foster Care for Providers - Jan. 3, 2022
  • What Providers Need to Know About Pharmacy - Oct. 28, 2021
  • Managed Care Claims and Prior Authorization Submission: Frequently Asked Questions - Part 2 - Sept. 9, 2021
  • Managed Care Claims and Prior Authorization Submission: What Providers Need to Know - Part 1 - July 9, 2021
  • Panel Management - June 29, 2021
  • Prompt Payment - March 31, 2021
  • Managed Care PCP/AMH Provider Payment Matrix - June 14, 2021
  • Health Equity Enhanced Payment Initiative - March 31, 2021
  • Overview of Provider Directory Data Flow - March 18, 2021
  • Managed Care Eligibility for Newborns: What Providers Need to Know - June 14, 2021
  • Protections for Pregnant Women and Newborns - June 29, 2021
  • Telehealth Program - June 14, 2021
  • Transition of Care for beneficiaries receiving long-term services and supports - Oct. 4, 2021
  • Advanced Medical Home - Oct. 4, 2021

AHEC Guides

MMC Checklist

For more information on AHEC practice support, visit the AHEC Practice Support page.

Health Plan Resources

Additional Resources
  • For additional health plan resources and contact information, visit the Health Plan Contacts and Resources page.
  • For additional health plan training opportunities, visit the Provider Playbook: Training Courses page.
Quick Reference Guides

Day One Provider Quick Reference Guide - updated Feb. 28, 2022

AmeriHealth Caritas North Carolina
https://www.amerihealthcaritasnc.com/provider/forms/index.aspx

Carolina Complete Health
https://network.carolinacompletehealth.com/resources/manuals-and-forms.html

Healthy Blue (Blue Cross Blue Shield)
https://provider.healthybluenc.com/north-carolina-provider/manuals-and-guides

United Healthcare Community Plan of North Carolina
https://www.uhcprovider.com/en/health-plans-by-state/north-carolina-health-plans/nc-comm-plan-home/nc-cp-training.html

WellCare of North Carolina
https://www.wellcare.com/North-Carolina/Providers/Medicaid

This page was last modified on 05/05/2022

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NC Medicaid
Division of Health Benefits

2501 Mail Service Center
Raleigh, NC 27699-2501
 
NC Medicaid Contact Center
Phone: 888-245-0179
Monday-Friday 8 a.m. to 5 p.m.
Closed on State holidays. 
 
Visit RelayNC for information about TTY services. 
 
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https://medicaid.ncdhhs.gov/providers/provider-playbook-medicaid-managed-care/fact-sheets