Transformation

North Carolina's Transformation to Medicaid Managed Care

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Beneficiaries

What You Need to Know to Use NC Medicaid Managed Care

Providers

NC Medicaid Managed Care Fact Sheets and Quick Reference Guides

Starting July 1, 2021, most Medicaid beneficiaries began receiving the same Medicaid services in a new way. Called "NC Medicaid Managed Care," beneficiaries choose a health plan and get care through a health plan's network of doctors. Some beneficiaries are remaining in traditional Medicaid, which is called 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 I/DD Tailored Plan

Care Management

Health Plans

Healthy Opportunities

Quality Management and Improvement

Children and Families Specialized Plan (formerly Specialized Foster Care)

Tailored Care Management

Value-Based Purchasing

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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