Department Fact Sheets
- 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 - June 14, 2021
- What Providers Need to Know: Part 1 – Before Managed Care Launch - June 14, 2021
- What Providers Need to Know: Part 2 – After Managed Care Launch - June 14, 2021
- Contracting with Health Plans - Jan. 4, 2021
- For more information, visit the Provider Contracting with Health Plans page.
- 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 - June 14, 2021
- Member Enrollment: Part 2 - Primary Care Provider (PCP)/Advanced Medical Home (AMH) Auto-Assignment - June 14, 2021
- Auto Enrollment Scenarios Presentation - Dec. 30, 2020
- 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
- Panel Management - June 14, 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
- Managed Care Claims and Prior Authorizations Submission: What Providers Need to Know - Part 1 - June 14, 2021
- Managed Care Claims and Prior Authorizations Submission: Frequently Asked Questions - Part 2 - June 14, 2021
- Telehealth Program - June 14, 2021
- Transition of Care for beneficiaries receiving long-term services and supports - June 14, 2021
- Advanced Medical Home - June 14, 2021
- Early Intervention Services in Medicaid Managed Care - March 1, 2021
- For more information on AHEC practice support, visit the AHEC Practice Support page.
Health Plan 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 - June 14, 2021
AmeriHealth Caritas North Carolina
Carolina Complete Health
Healthy Blue (Blue Cross Blue Shield)
United Healthcare Community Plan of North Carolina
WellCare of North Carolina