Fact Sheets
Department Fact Sheets
Standard Plans
- Introduction to Medicaid Transformation: Part 1 – Overview - June 14, 2021
- Introduction to Medicaid Transformation: Part 2 – Enrollment and Timelines - June 14, 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
Tribal Option
Tailored Plans
- Tailored Care Management - Dec. 1, 2022
- Tailored Plan Enrollment and Timeline - June 29, 2022
- What Providers Need to Know Before Tailored Plan Launch - Jan. 6, 2023
Standard Plans and Tribal Option
- Contracting with Health Plans - Jan. 4, 2021
Tailored Plans
- Contracting with Tailored Plans - Dec. 15, 2022
- Tailored Plan Provider Contracting Deadlines Questions and Answers - Dec. 19, 2022
For more information, visit the Provider Contracting with Health Plans page.
Disenrollment / Move to NC Medicaid Direct
- Request to Move to NC Medicaid Direct Process - Jan. 18, 2023
Standard Plans
- 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
Tailored Plans
- Tailored Plan Member Enrollment: PCP/TCM Auto-assignment - Aug. 17, 2022
- Tailored Plan Auto-Enrollment & Opt-In Scenarios - May 17, 2022
Enrollment Broker Information
- Medicaid and NC Health Choice Provider and Health Plan Lookup Tool - Oct. 28, 2022
- For more information on the Enrollment Broker notices and beneficiary materials, visit the Beneficiary Materials page.
Non-Emergency Medical Transportation (NEMT)
For facts sheets regarding Non-Emergency Medical Transportation (NEMT), please see the NEMT page on the County Playbook
NC Medicaid Programs and Services
- NC Medicaid Managed Care: Provider Training - Nov. 28, 2022
- Advanced Medical Home - Nov. 14, 2022
- Transition of Care for beneficiaries receiving long-term services and supports - Nov. 14, 2022
- Nursing Facility - Health Plan Process - Oct. 17, 2022
- Nursing Facility Placement - Oct. 17, 2022
- Provider Postpartum - 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 - Sept. 14, 2022
- 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 - Sept. 27, 2022
- Managed Care Eligibility for Newborns: What Providers Need to Know - Jan. 9, 2023
- Protections for Pregnant Women and Newborns - Dec. 19, 2022
- Telehealth Program - June 14, 2021
AHEC Guides
AHEC Practice Support
For more information on AHEC practice support including the Back Porch Series, 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.
Health Plan Quick Reference Guides -
Standard Plans:
Standard Plan Launch - Day One Provider Quick Reference Guide - updated Feb. 28, 2022
AmeriHealth Caritas North Carolina
amerihealthcaritasnc.com/provider/forms/index.aspx
Carolina Complete Health
network.carolinacompletehealth.com/resources/manuals-and-forms.html
Healthy Blue (Blue Cross Blue Shield)
provider.healthybluenc.com/north-carolina-provider/manuals-and-guides
United Healthcare Community Plan of North Carolina
uhcprovider.com/en/health-plans-by-state/north-carolina-health-plans/nc-comm-plan-home/nc-cp-training.html
WellCare of North Carolina
wellcare.com/North-Carolina/Providers/Medicaid
Tailored Plans:
Tailored Plan Launch - Day One Provider Quick Reference Guide
This page was last modified on 01/18/2023