Opting Out of Tailored Care Management
You can opt out of (or decline) Tailored Care Management at any time. This will not affect your other services in any way. You can opt back in at any time.
These Medicaid health plans offer Tailored Care Management. To opt out, call the one listed on your health plan ID card and tell them you do not want Tailored Care Management.
- Alliance Health, 1-800-510-9132, TTY: 711 or 1-800-735-2962
- Partners Health Management, 1-888-235-4673, TTY/English: 1-800-735-2962, TTY/Spanish: 1-888-825-6570
- Trillium Health Resources, 1-877-685-2415, TTY: 711
- Vaya Health, 1-800-962-9003, TTY: 711
If you opt out, you will still have what’s called “care coordination.” You can call your health plan with questions, and they can give you resources. But, you will not have an assigned person to help you one-on-one with your health care.
If you change your mind
You can restart Tailored Care Management at any time. Call the number listed on your health plan ID card and tell them you want Tailored Care Management.
If you never gave your consent
To get started with Tailored Care Management, you had to consent to (or agree to) Tailored Care Management by telling your Tailored Care Manager.
If you never gave your consent, please opt out officially by calling the number listed on your health plan ID card.
Note: Opting out of Tailored Care Management is different from opting out of Tailored Plans. Tailored Plans are a type of Medicaid health plan. If you opt out of your Tailored Plan, your Medicaid coverage and services may change. Tailored Care Management is a service, and opting out of it will not affect your other services.
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:
- Alliance Health, 1-800-510-9132, TTY: 711 or 1-800-735-2962
- Partners Health Management, 1-888-235-4673, TTY/English: 1-800-735-2962, TTY/Spanish: 1-888-825-6570
- Trillium Health Resources, 1-877-685-2415, TTY: 711
- Vaya Health, 1-800-962-9003, TTY: 711
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.