Transformation

North Carolina's Transformation to NC Medicaid Managed Care

Beneficiaries

What You Need to Know to Use NC Medicaid Managed Care

Providers

NC Medicaid Managed Care Fact Sheets and Quick Reference Guides

On July 1, 2021, most Medicaid beneficiaries began receiving the same Medicaid services under NC Medicaid Managed Care. With managed care, beneficiaries choose a health plan and get care through the health plan's network of doctors. Some beneficiaries remain NC Medicaid Direct. 

Beneficiary Information for NC Medicaid Managed Care

County Playbook for NC Medicaid Managed Care

Provider Playbook for NC Medicaid Managed Care

Advanced Medical Homes

Behavioral Health and Intellectual/Development Disabilities Tailored Plan

Care Management

Health Plans

Healthy Opportunities

Quality Management and Improvement

Children and Families Specialty Plan

Tailored Care Management

Value-based Payments

NC Integrated Care for Kids (InCK)

NC Medicaid Managed Care

NC Medicaid Managed Care Design and Policy

Proposed program design information.

Requests for Proposal and Requests for Information

NC Medicaid Managed Care procurement documents.

More Information

NC Medicaid Managed Care public notices, webinars, press releases, session laws and other general information.

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