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 - 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 - Sept. 16, 2021

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 - 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.

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

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 - June 14, 2021
Advanced Medical Home - June 14, 2021
Early Intervention Services in Medicaid Managed Care - March 1, 2021

MMC Checklist

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

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.

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