NC Medicaid Managed Care Health Plan Contracts Standard Plans. The contract (i.e., Revised and Restated Request for Proposal (RFP)) reflects the original RFP issued Aug. 9, 2018, with all addenda and negotiation documents incorporated. Contract #30-190029 Prepaid Health Plan Services and Draft Rate Book

Jul 1, 2019 · Learn more about NC Medicaid Managed Care. Join us at a community meeting or event. Find meetings and events near you > Update your address and other information for Medicaid with an enhanced ePASS account – without having to call or visit your local Department of Social Services (DSS). Sign up today at epass.nc.gov.

Jul 1, 2024 · NC Medicaid Managed Care Overview. Information on Standard Plans, Tailored Plans and NC Medicaid Direct.

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.

Aug 15, 2024 · A first-of-its-kind initiative, the CFSP is a single, statewide NC Medicaid Managed Care plan that will wrap Medicaid-enrolled children, youth and their families in the child welfare system with seamless, integrated and coordinated health care.

Jul 7, 2021 · The following are new and updated provider fact sheets for transitioning to NC Medicaid Managed Care. Protections for Pregnant Women and Newborns – An overview of NC Medicaid established safeguards specific to pregnant women and newborns receiving care, particularly from out-of-network (OON) providers.

NC Medicaid Direct: North Carolina’s health care program for Medicaid beneficiaries who are not in health plans. It includes care management by Community Care of North Carolina (CCNC), the primary care case management entity for physical health services.

NC MEDICAID MANAGED CARE: State will contract with insurance companies, called Prepaid Health Plans or PHPs (Health Plans). These insurance companies will be paid a pre-determined set rate per person to provide all services, known as a capitated rate. ELIGIBILITY: refers to whether a person qualifies for Medicaid or NC Health Choice (NCHC).

Medicaid Managed Care • Standard Plans and Tailored Plans are two programs under Medicaid Managed Care and both integrate physical and behavioral health services for members as well as maintain networks of physical and behavioral health providers. • Standard Plans are geared toward Medicaid members with mild-to-moderate behavioral health ...

Most NC Medicaid recipients are now enrolled in NC Medicaid Managed Care. If you are in Managed Care, your new health plan should have mailed you a new Medicaid ID card and other information. If you still need this information, call the Enrollment Broker at 833-870-5500.