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Medicaid Transformation: Standard Plans Announced

Tuesday, February 5, 2019   (0 Comments)
Posted by: Kay Castillo
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Moving forward with the state's plan to transform Medicaid, the North Carolina Department of Health and Human Services announced the winners of the statewide Standard Plan contracts on Monday, February 4th.


The statewide Prepaid Health Plan (PHP) contracts were awarded to the following entities, which will offer Standard Plans in all regions in North Carolina:
• AmeriHealth Caritas North Carolina, Inc.
• Blue Cross and Blue Shield of North Carolina
• UnitedHealthcare of North Carolina, Inc.
• WellCare of North Carolina, Inc.
A regional PHP contract was awarded to Carolina Complete Health, a provider-led entity, which will offer plans in Regions 3 and 5.


Learn more about the regions with this Medicaid Factsheet.


Now that the organizations have been awarded statewide contracts, NASW-NC will focus more on provider enrollment. Per NASW-NC advocacy, there will be one streamlined process for enrolling, though each organization can seek additional information from providers to enroll. For more insight into provider transition, see these policy papers and NASW-NC's comments to both:

Read NASW-NC's Comments to this Policy Paper

Read NASW-NC's Comments to this Policy Paper



Additional provider support, including webinars, can be found here.

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