Open Enrollment Information for NC Medicaid Managed Care

05.07.2021

Open Enrollment Period for NC Medicaid Managed Care Ends May 14

Happening Monday, May 10: Medicaid Transformation Community Resource Drive-Thru Event at Brunswick County Government Complex

Come get information about Medicaid Transformation and your options on choosing the best health plan for you and your family at this drive-thru event:

Date: May 10, 2021

Time: 10:30 a.m. – 1 p.m.

Location: Brunswick County Social Services

Address: 60 Government Center Dr NE, Bolivia, NC 28422

Reminder: Open Enrollment Period for NC Medicaid Managed Care Ends May 14

The statewide open enrollment period for NC Medicaid Managed Care will end May 14, 2021. Most people in NC Medicaid must choose a health plan as part of the State’s transition to NC Medicaid Managed Care.

Some people will stay in NC Medicaid Direct, and others will be able to choose whether they move to a health plan or not. This Fact Sheet (link) outlines who must choose a health plan, who may choose a health plan, and who cannot choose a health plan.

You may receive information from your health care provider encouraging you to choose a health plan they are contracted with in NC Medicaid Managed Care so you can continue being their patient. Communication from providers is not an official enrollment notice. Depending on your current eligibility, you may not be required to choose a health plan. For questions, including whether you need to enroll, please call the NC Medicaid Enrollment Broker Call Center at 833-870-5500 or visit ncmedicaidplans.gov.

Beneficiaries can now enroll through one of four channels: 
  1. Online
  2. By calling the NC Medicaid Managed Care Call Center at 833-870-5500 (TTY: 833-870-5588)
  3. Through the free NC Medicaid Managed Care mobile app available on Google Play or the App Store, or
  4. By using the mail-in forms sent to them in an enrollment packet.

The NC Medicaid Managed Care website offers a wide variety of tools and resources to assist beneficiaries in choosing a primary care provider (PCP) and a health plan for their families’ care. Resources include frequently asked questions, a chat function, and the Medicaid and NC Health Choice Provider and Health Plan Lookup Tool. The Lookup Tool offers four categories of search capabilities, advanced search based on specialty and the ability to view all providers within an organization/location and by practice name.

Beneficiaries who enroll with a health plan during open enrollment will have the opportunity to select a PCP from a list of contracted providers. If they do not choose a health plan before May 14, one will be assigned to them by NC Medicaid. In the first 90 days after their coverage effective date, beneficiaries can change health plans for any reason. After that, unless there is a special reason, beneficiaries cannot change health plans until the next Medicaid recertification date.

For more information, beneficiaries can reference the enrollment packets that were mailed to them, visit the NC Medicaid Managed Care website or call the NC Medicaid Managed Care Call Center at 833-870-5500 (TTY: 833-870-5588).

ICYMI: Open Enrollment Period for NC Medicaid Managed Care Now Open Through May 14

The North Carolina Department of Health and Human Services (NCDHHS) recently announced the launch of the statewide open enrollment for NC Medicaid Managed Care. Beneficiaries can now enroll through one of four channels: 

  1. Online
  2. By calling the NC Medicaid Managed Care Call Center at 833-870-5500 (TTY: 833-870-5588)
  3. Through the free NC Medicaid Managed Care mobile app available on Google Play or the App Store, or
  4. By using the mail-in forms sent to them in an enrollment packet.

The NC Medicaid Managed Care website offers a wide variety of tools and resources to assist beneficiaries in choosing a primary care provider (PCP) and a health plan for their families’ care. Resources include frequently asked questions, a chat function, and the Medicaid and NC Health Choice Provider and Health Plan Lookup Tool. The Lookup Tool offers four categories of search capabilities, advanced search based on specialty and the ability to view all providers within an organization/location and by practice name.

Open enrollment ends May 14, 2021. Beneficiaries who enroll with a health plan during open enrollment will have the opportunity to select a PCP from a list of contracted providers. If they do not choose a health plan before May 14, one will be assigned to them by NC Medicaid. In the first 90 days after their coverage effective date, beneficiaries can change health plans for any reason. After that, unless there is a special reason, beneficiaries cannot change health plans until the next Medicaid recertification date.

For more information, beneficiaries can reference the enrollment packets that were mailed to them, visit the NC Medicaid Managed Care website or call the NC Medicaid Managed Care Call Center at 833-870-5500 (TTY: 833-870-5588).

NCDHHS Begins Mailing Enrollment Packets and Launches Call Center in Preparation for NC Medicaid Managed Care Open Enrollment

Raleigh

Link to Original Release: https://www.ncdhhs.gov/news/press-releases/ncdhhs-begins-mailing-enrollment-packets-and-launches-call-center-preparation-nc

The North Carolina Department of Health and Human Services has begun mailing enrollment packets statewide and launched new resources for beneficiaries as it prepares for NC Medicaid Managed Care Open Enrollment which begins on Mar. 15, 2021. Beneficiaries can now call the NC Medicaid Enrollment Call Center to learn more about NC Medicaid Managed Care and can download a free beneficiary enrollment mobile app.

These new tools, as well as the NC Medicaid enrollment website, will assist beneficiaries in choosing a primary care provider (PCP) and a health plan for their families’ care. Some people will not need to choose a health plan because of the type of health services they need.

The NC Medicaid Enrollment Call Center number is 833-870-5500 (TTY: 833-870-5588). The free mobile app, called NC Medicaid Managed Care, is available on Google Play or the App Store. Mailings of enrollment packets are being done in batches and should arrive at beneficiary homes by Monday, Mar. 15, 2021.

“We are pleased to reach another milestone in our move to Medicaid managed care,” said Deputy Secretary for NC Medicaid Dave Richard. “It moves us one step closer to achieving our vision of improving health and well-being for North Carolina citizens through an innovative, whole-person-centered and well-coordinated system of care that addresses both medical and non-medical drivers of health.”

Most people who receive Medicaid can choose from five health plans as part of the State’s transition to managed care. All health plans are required to have the same Medicaid services, such as office visits, blood tests and X-rays. Health plans each have their own network of qualified doctors and health care professionals. People can choose a PCP from their plan’s network to deliver their families’ Medicaid services.

Health plans also have added services such as educational assistance and programs to have a healthy pregnancy. The Eastern Band of Cherokee Indians (EBCI) Tribal Option is an additional managed care option for federally recognized tribal members and other individuals eligible to receive services through Indian Health Service.

These new tools will supplement the NC Medicaid enrollment website, which contains a wide variety of information and frequently asked questions about the enrollment process, and serves as a hub for communicating to beneficiaries, providers and plans. To assist beneficiaries in their health plan and provider selection, the enrollment website offers the Medicaid and NC Health Choice Provider and Health Plan Lookup Tool with four categories of search capabilities, advanced search based on specialty and the ability to view all providers within an organization/location and by practice name.

Beneficiaries are encouraged to use these tools to learn more so they can choose a plan for their enrollment. Open enrollment officially begins Mar. 15, but beneficiaries can proceed now with online enrollment, or call the NC Medicaid Enrollment Call Center for assistance at 833-870-5500 (TTY: 833-870-5588).