Carolina Access Medicaid Phone Number

Health Choice For Children

North Carolina Health Choice offers health coverage for children whose families make too much money to qualify for Medicaid, but do not make enough money to afford private or employer-sponsored health insurance. View more information apply through the North Carolina Health and Human Servicess online program.

Ccnc/ca Service Referrals & Care Coordination

Effective with dates of service Nov. 1, 2016, CCNC providers shall NOT enter a National Provider Identifier as the CCNC payment authorization number for claims processing.

Providers should not receive claims denials due to CCNC payment authorization for dates of service after Oct. 31, 2016.

Service referral requirements are NOT changing for CCNC providers

Providers are encouraged to continue supporting the CCNC program which is designed to improve quality and access to care manage appropriate utilization of services and achieve cost-effectiveness through care coordination with CCNC PCPs.

CCNC PCPs must continue to adhere to care coordination practices as set forth in Section IV of the NC DHHS Agreement for Participation as a CCNC Provider. The PCP in the medical home will continue to arrange service referrals for medically necessary health care services and specialty care as required by the Agreement.

Information You May Need When Applying For Services

To assist you with the Medicaid and Food and Nutrition Services applications, listed below are verifications you may be asked to provide in order to determine your eligibility. If you do not have any of this information you may still complete an application and interview for services. Individuals can apply at or in person at the Social Service building, no appointment is necessary.

To submit required verification electronically, email them to:

Name/Identity:

• Mail received at your address

Earned Income:

• Letter or note from your Employer

Unearned Income :

• Benefit Award Letter/Benefit Payment Check
• Child Support Agreement

• Property Tax/Homeowners Insurance Statement
• Day Care receipts

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What Is The Ombudsman Program

Our program helps North Carolina Medicaid and NC Health Choice beneficiaries understand the Medicaid program and changes happening as the State moves to NC Medicaid Managed Care. We offer help if people with Medicaid have trouble getting access to health care, and we connect people to resources like legal aid, social services, housing resources, food assistance and other programs. We provide free, confidential support and education about the rights and responsibilities people have under NC Medicaid.

Medicaid & Food And Nutrition Services

Medicaid and Health Choice are health insurance programs that offer coverage for individuals, families and children who meet financial and other requirements. The Food and Nutrition Services or Food Stamp program provides monthly supplement to eligible individual and families to purchase health foods. Medicaid and Food and Nutrition Services are entitlement programs.

Paper applications, recertification forms, and required verifications can be emailed to:

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Find And View Providers And Health Plans

This website has tools to help you find and view primary care providers and health plans.

Medicaid and NC Health Choice Provider and Health Plan Lookup ToolYou can use the Medicaid and NC Health Choice Provider and Health Plan Lookup Tool to find a PCP. Our provider search will help you find the best PCP for you and your family.

To search for a provider, go to Find a provider.

Health Care Option GuideYou can use the Health Care Option Guide to view health plans. It will help you choose the best health plan to meet your health care needs.

To view health plans, go to View health plans.

Unitedhealthcare Connected For Mycare Ohio

UnitedHealthcare Connected® for MyCare Ohio is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. If you have any problem reading or understanding this or any other UnitedHealthcare Connected® for MyCare Ohio information, please contact our Member Services at from 7 a.m. to 8 p.m. Monday through Friday for help at no cost to you.

Si tiene problemas para leer o comprender esta o cualquier otra documentación de UnitedHealthcare Connected® de MyCare Ohio , comuníquese con nuestro Departamento de Servicio al Cliente para obtener información adicional sin costo para usted al de lunes a viernes de 7 a.m. a 8 p.m. .

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays, and restrictions may apply. For more information, call UnitedHealthcare Connected Member Services or read the UnitedHealthcare Connected Member Handbook. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year.

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Unitedhealthcare Connected General Benefit Disclaimer

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® Member Handbook. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year.

You can get this document for free in other formats, such as large print, braille, or audio. Call Member Services, 8 a.m. – 8 p.m., local time, Monday – Friday . The call is free.

You can call Member Services and ask us to make a note in our system that you would like materials in Spanish, large print, braille, or audio now and in the future.

Language Line is available for all in-network providers.

Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. Llame al Servicios para los miembros, de 08:00 a. m. a 08:00 p. m., hora local, de lunes a viernes correo de voz disponible las 24 horas del día,/los 7 días de la semana). La llamada es gratuita.

Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro sistema que le gustaría recibir documentos en español, en letra de imprenta grande, braille o audio, ahora y en el futuro.

North Carolina Medicaid And Covid

North Carolina Medicaid is concerned about your health and wellbeing during the COVID-19 outbreak. In response to COVID-19, we have made temporary changes in how you get Medicaid services. We are also providing new ways for health care providers to care for you.

• Your benefits will not end or need to be reviewed during this emergency. All Medicaid and NC Health Choice eligibility will be extended for the duration of the COVID-19 crisis.
• You can get up a 90-day supply of most prescriptions. You can also get all your prescriptions filled at the same time to reduce trips outside yoru house.
• You can access primary care, specialists, mental health, and some developmental disability services via telehealth. Telehealth is a way your medical providers can provide you care by telephone, smartphone, or computer.

ATTENTION MEDICAID BENEFICIARIES: NOTICE OF YOUR RIGHTS UNDER HAWKINS v. COHEN

Para aviso en español haga click aquí.

Hawkins v. Cohen is a federal lawsuit filed in 2017 on behalf of Medicaid beneficiaries in North Carolina. The case concerns improper terminations of Medicaid benefits.

The Court hearing the case has certified it as a class action. This means that the case is to help not just the people who filed the case but other Medicaid beneficiaries whose Medicaid has been or will be terminated improperly.

for the full notice.

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Unitedhealthcare Dual Complete Plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call TTY 711, or use your preferred relay service for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Tailored Plans Will Start December 1 2022

On December 1, 2022, NC Medicaid will have a new type of health plan. It is called the Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan . People who need certain services to address a mental health disorder, substance use disorder, intellectual/developmental disability or traumatic brain injury may qualify for the Tailored Plan that serves their county.To learn more, go to Tailored Plan services.

Meetings and events

You can schedule rides to medical appointments. Learn more about transportation services.

Get the free mobile app

To get the app, search for NC Medicaid Managed Care on or the App Store.

Use the app to find and view primary care providers and health plans for you and your family. Learn more about the free mobile app at .

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Healthy First Steps Rewards

Build a healthy future for you and your baby and earn great rewards with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy. Plus you can earn $20 just for signing up.

We will help you:

• Choose a pregnancy provider and a pediatrician .
• Schedule visits and exams and arrange rides to your visits.
• Earn rewards for going to visits throughout your pregnancy and babys first 15 months of life.
• Get supplies, including breast pumps for nursing moms.
• Connect with community resources such as Women, Infants and Children services.

Primary Care Providers Partnering With Ccnc Networks

Once enrolled as a Carolina Access PCP, providers may inquire on serving as a PCP in the NC Medicaids enhanced PCCM program known as CCNC. To participate, providers are required to sign a separate contract with the local CCNC network. Carolina Access PCPs who wish to participate in the CCNC program should contact the CCNC Network serving their county.

PCPs participating in the CCNC network are paid on a fee for service basis, plus an enhanced per member per month care management for each assigned beneficiary. The enhanced fees are noted as follows:

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Unitedhealthcare Senior Care Options Plan

UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program.

Family And Childrens Medicaid

• Covers children through age 20, parents and caretakers of minor children under the age of 18, and pregnant women who meet income requirements.
• Family Planning Program is designed to reduce unintended pregnancies and improve the well-being of children and families. Services are provided to eligible persons of any age who are ineligible for all other Medicaid programs.
• North Carolina Health Choice Health Insurance for Children provides reduced price comprehensive coverage for children six to 18 years whose family income meets certain limits but is too high to qualify for Medicaid.

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Food And Nutrition Services

The Food and Nutrition Program is a federal food assistance program that provides low-income families a monthly supplemental allotment of benefits issues via Electronic Benefit Transfer cards . The Food stamp program is an entitlement program, so all eligible individual and households can receive assistance.

You may be eligible for Food and Nutrition Services if your total income falls below the appropriate gross income limits for your household size. Eligibility workers determine which income limit applies to your household.

Eligible individuals will receive Food and Nutrition benefits no later than thirty days from the date of application. Individuals with special circumstances will be given an opportunity to receive Food and Nutrition benefits within seven days of the application. View more information apply through the North Carolina Health and Human Servicess online program.

See What Unitedhealthcare Has To Offer

Its your health. Its your choice.

Everyone deserves affordable health care, including you.

That includes working adults, people with disabilities, pregnant women and children.

If thats you, check out UnitedHealthcare Community Plan Medicaid.

We have the Medicaid services and extras that can make a real difference in your life. All at no cost to you.

• Find a doctor you trust in our network.
• Unlimited doctor visits for adults.
• Vision coverage.
• Transportation to and from doctor appointments.
• 24/7 NurseLine to answer your health questions.

Sometimes, you might need a little extra help. Get extras not covered by Medicaid.

• Earn rewards for keeping you and your baby healthy.
• Earn gift cards for getting preventative services.
• Support and treatment to reach a healthy weight.
• Members 18 and older can get free GED Exam Voucher and materials.

We also offer resources to help you make the most of your plan. Including:

• Member Advocates

Visit NC medicaidplans dot gov for more information.

Helping you live a healthier life.

We are here for you, North Carolina

Remember to choose UnitedHealthcare Community Plan.

And get the Plan that gets you more.

To learn more about UnitedHealthcare Community Plan, visit UHCCommunityPlan.com forward slash NC.

Discount valid until 12/31/22. Discount valid only for in-store purchases of eligible Walgreens brand health and wellness products by current members.

Looking for the federal governments Medicaid website? Look here at Medicaid.gov.

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Enrolling Nc Medicaid Beneficiaries In Ccnc

Medicaid beneficiaries are educated and enrolled in CCNC by the local Department of Social Services office.

Beneficiaries have freedom of choice when selecting his/her preferred primary care provider. If a beneficiary is enrolled with another provider but wants to join your CCNC/CA practice, ask them to fill out a CCNC/CA Enrollment Form for Medicaid Recipients. Mail or fax the completed form to the DSS in the county in which the beneficiary resides.

If the beneficiary prefers to choose another CCNC provider, refer them to their caseworker at the local DSS office.

Icipation Requirements Of New Primary Care Providers

Medical providers interested in serving as a NC Medicaid Carolina Access PCP must complete an online application accessing NCTracks. NCTracks Provider Enrollment

Applicants must meet all program requirements and qualifications for which they are seeking enrollment before they can be enrolled as an NC Medicaid provider. Provider Permission Matrix.

When completing an Individual or Organization Provider Enrollment application, you will be given the option to also enroll as a PCP in the Carolina Access program, if your provider type qualifies you to participate. CCNC/CA Eligible Provider Types

An eligible Carolina Access Provider must:

• Perform primary care services that include certain preventive & ancillary services
• Create and maintain a patient/doctor relationship
• Provide direct patient care a minimum of 30 office hours per week
• Provide access to medical advice and services 24 hours per day, seven days per week
• Refer to other providers when the service cannot be provided by the PCP
• Provide oral interpretation for all non-English proficient beneficiaries at no cost

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