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News & Press: Updates for Members

Medicaid Transformation News and Important Enrollment Information

Friday, July 12, 2019   (0 Comments)
Posted by: Kay Castillo
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The North Carolina Department of Health and Human Services has provided the following update about Medicaid Transformation:

The Medicaid Managed Care call center (833-870-5500) and website went live on June 28. Beneficiaries are already using both to learn more about managed care and enroll in a health plan. NC Medicaid Managed Care Phase 1 is on track for beneficiaries to begin using their health plan on November 1.

NC Medicaid Managed Care Phase 1 covers counties in regions 2 and 4:

  • Region 2: Alleghany, Ashe, Davidson, Davie, Forsyth, Guilford, Randolph, Rockingham, Stokes, Surry, Watauga, Wilkes, Yadkin
  • Region 4: Alamance, Caswell, Chatham, Durham, Franklin, Granville, Johnston, Nash, Orange, Person, Vance, Wake, Warren, Wilson

This week, Phase 1 enrollment packets started being mailed to beneficiaries in regions 2 and 4. (Open enrollment for Phase 1 officially begins July 15.) Enrollment packets include:

The Department is committed to sharing information and updates about the transformation to Medicaid Managed Care, including open enrollment.

 

The Department has provided enrollment materials for use by county agencies and partners:

  • County Playbook: Collection of resources for county leaders, including an overview of Medicaid transformation and timelines

o   Fact Sheet

o   Flyer

o   Palm Card

o   Poster

o   Q&A

 

Transitioning to managed care is the most significant change that NC Medicaid has ever undertaken. With any rollout of this magnitude, there will be issues and questions that arise. The Department is committed to doing everything possible to resolve problems quickly and make sure beneficiaries, providers and county agencies have the support they need.

 

Thank you for your ongoing partnership and support to launch this major effort. Please contact the Department's SWAT team with any issues that arise by calling (919) 527-7460 or emailing MedicaidSWAT@dhhs.nc.gov.


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