What is NC Medicaid Managed Care?

NC Medicaid Managed Care helps you get the most out of your Medicaid benefits. Instead of one
Medicaid program there are many health plans to choose from.

All health plans are required to have the same Medicaid services, such as office visits, blood tests
and X-rays. Health plans may also offer added services such as programs to help you quit smoking,
eat healthier and have a healthy pregnancy. Health plans work with different doctors and health
care providers. Each plan has its own network of qualified doctors and health care providers. To
keep your doctor, clinic or other provider, find out which plans they work with. Then choose one
of those plans.

Show All Answers

1. What is NC Medicaid Managed Care?
2. What is NC Medicaid Direct?
3. Is Medicaid eligibility changing?
4. What is a primary care provider (PCP)?
5. What is a health plan?
6. Do I have to choose a health plan?
7. Will I lose any services when I enroll?
8. What do I need to do?
9. What is the deadline to enroll?
10. What happens after I enroll?
11. Can I change my health plan after I enroll?
12. When can I call to get help?
13. Can I keep my current primary care provider (PCP)?
14. Why can I only visit certain doctors?
15. What if I have a scheduled visit with a doctor who is not in my health plan’s network?
16. What if I have a chronic health condition, standing appointments or an upcoming surgery/procedure?