Learn more about the new way to get Medicaid health care in North Carolina
NC Medicaid Managed Care will start in July. For most people, Medicaid services–physical health, behavioral health and medicine–will be managed by insurance companies, also referred to as health plans or Standard Plans.
Most Medicaid beneficiaries in Vaya’s region will choose from four health plans: AmeriHealth Caritas, HealthyBlue, UnitedHealthcare Community Plan and WellCare. Each health plan has its own network of qualified doctors and health care professionals, but all four plans are required to offer the same basic services.
Who must choose a health plan?
People who must choose a plan will receive a letter from NC Medicaid Managed Care with information about how to enroll. If someone is unsure whether they have to choose a plan, they can call 1-833-870-5500 (TTY: 1-833-870-5588) to speak with an enrollment broker (see What is an enrollment broker?).
Are there people who are not required to choose a health plan?
Individuals who get services through the programs listed below will not need to choose from the four health plans listed above. They will stay enrolled in NC Medicaid Direct.
- NC Innovations Waiver
- Community Alternatives Program for Children (CAP/C)
- Community Alternatives Program for Disabled Adults (CAP/DA)
Individuals who are federally-recognized tribal members or qualify for Indian Health Services (IHS) may choose to enroll in the Eastern Band of Cherokee Indians (EBCI) Tribal Option.
What is an enrollment broker?
An enrollment broker is available to help individuals understand the enrollment process and choose a health plan. As a third-party entity, the enrollment broker offers unbiased information, as well as outreach and education. A list of upcoming community meetings and events is available at ncmedicaidplans.gov/events.
The enrollment broker can also assist people who may have questions about whether they need to enroll in a health plan or stay in NC Medicaid Direct.