Help with Tailored Care Management

Versión en español

We are here to help. Check below for answers to common questions.

If your issue is still not resolved, please contact the NC Medicaid Ombudsman. Your feedback is important to us.

Tab/Accordion Items

These Medicaid health plans offer Tailored Care Management. Call the one listed on your health plan ID card, and ask if you have Tailored Care Management:

Don’t see your plan? Tailored Care Management is only available with Tailored Plans or NC Medicaid Direct; it is not available with Standard Plans or EBCI Tribal Option. See contact information for all Medicaid health plans.

Not sure who to call? Call the number on your health plan ID card. Or, call the NC Medicaid Enrollment Broker at 1-833-870-5500. Hours of operation: 7 a.m. to 5 p.m., Monday through Saturday. They can tell you which plan you have.

Call the number listed on your health plan ID card. They can tell you if you are eligible for Tailored Care Management and who your Tailored Care Manager is.

First, talk to your Tailored Care Manager about what you need. (Here are some examples of how Tailored Care Managers can help you.) They need to know what you need to be able to help you.

If they are still not helpful, you can try someone else by changing your Tailored Care Manager. It is important that your Tailored Care Manager is the right fit for you.

Your feedback is important to us. If you had a negative experience with a Tailored Care Manager, we want to hear about it.

Call the NC Medicaid Ombudsman at 1-877-201-3750. Hours of operation: 8 a.m. to 5 p.m., Monday through Friday. They are an outside group that can advocate on your behalf.

You can cancel Tailored Care Management by opting out. Learn how to opt out of Tailored Care Management.

Tailored Care Management

Need help?

These NC Medicaid health plans offer Tailored Care Management. Call the one listed on your health plan ID card or in your health plan welcome letter:

Don’t see your plan? Tailored Care Management is only available with Tailored Plans or NC Medicaid Direct; it is not available with Standard Plans or Eastern Band of Cherokee Indians (EBCI) Tribal Option. See contact information for all Medicaid health plans.

Not sure who to call? Call the number on your health plan ID card. Or call the NC Medicaid Enrollment Broker at 1-833-870-5500. Hours of operation: 7 a.m. to 5 p.m., Monday through Saturday. They can tell you which plan you have.

If you have a complaint or concern, or you need help understanding your rights and responsibilities: Call the NC Medicaid Ombudsman at 1-877-201-3750. Hours of operation: 7 a.m. to 5 p.m., Monday through Saturday. They are an outside group that can advocate on your behalf.

Don’t have NC Medicaid? Apply for NC Medicaid.