Nc medicaid provider directory. NC Medicaid Contact Center Phone: 888-245-0179.

Nc medicaid provider directory Search the NC Medicaid Online Directory 2. The Medicaid and NC Health Choice Provider and Health Plan Lookup Tool is now available at https://ncmedicaidplans. 132 Important Telephone Numbers. If you drive yourself to an appointment, or if a family member or friend gives you a ride, you might get money back for travel costs. 301 Billingsley Road, Charlotte, NC 28211 West Charlotte (Community Resource Center) 3205 Freedom Drive, Charlotte, NC 28208 P. 91 KB - October 28, 2022 Division/Office. Need a printed copy? If you need a printed copy of these directories, one will be provided to you within 5 business days of your request or if you would like to request a Large Print version of any directory, please call 1-888-235-HOPE (4673). Español (Spanish): The NC Medicaid Provider and Health Plan Lookup Tool provides an online resource for beneficiaries to research and, in some cases, select a health plan and PCP. Health. NC Medicaid, Division NC DHHS Provider Information. With our free mobile app, you can easily find eye care professionals, view benefit eligibility information, and even view your member ID card! Give it a try today: Android iOS Close notice When It Comes to Eye Care, You’ve Got Options Find a Provider Near Me I want to visit an in-network eye doctor in [] Find Medicare-approved providers near you & compare care quality for nursing homes, doctors, hospitals, hospice centers, more. 132 . provider. They can help Medicaid beneficiaries when they are not or about our policies, please call Provider Services at 1-800-638-3302. Disclaimer. North_Carolina_Provider_Directory_Listing_20210725. North Carolina Provider Directory Listing July 25, NC Medicaid Contact Center Phone: 888-245-0179. An MCO is a health plan with a group of doctors and other providers working together to give health services to its members. Author: Luques, Melanie Find the company (LME/MCO) that manages your Tailored Plan using this directory. Visit RelayNC for information about TTY services. Need to make demographic updates? The UnitedHealthcare Provider Portal My Practice Profile tool is where demographic updates and attestations are made. PDF • 37. Use these tools to find a network doctor, dentist, or health care facility such as a hospital or urgent care clinic. DHHS AGENCY Monitoring Tool for Providers Effective October2015 NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000 Medicaid. Closed on State holidays. Directory_Affiliation_Report_TP_20221024. Find My Plan; 2025 Medicare Basics; 2025 Medication Therapy Management; Video Library; Member Login; Find a Provider. South Carolina Department of Health and Human Services makes up-to-date Medicaid provider directory information available to the public in compliance with the Code of Federal Regulations (CFR) Title 42 Section 422. Find a Select Network doctor or facility in or outside of your home area. Center for Disease Control (CDC) - Patient-Centered Medical Home Model: An approach to delivering high-quality, cost-effective, coordinated care that is team-based, culturally NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000 Customer Service Center: 1-800-662-7030 Visit RelayNC for information about TTY services. If you notice any errors in your information in the directory, contact Provider Recruitment at 1-844-399-0474. We can also provide information in You can visit our website at partnersbhm. Medicaid Operational Support Team. Skip to main content NC_Provider@healthybluenc. Medicaid. Or, call the NC Medicaid Enrollment Broker at 1-833-870-5500 (TTY: 711 or RelayNC. Call 1-888-235-4673 (TTY/TDD Relay NC 711). If you need help searching for a provider, our Access to Care call center is available 24 hours NC DHHS - Provider Playbook - NC Medicaid Managed Care: Resources, tools, and the latest information to help your organization and beneficiaries transition to the Tailored Plan. Opioid Treatment Program Directory; Drug-Free Workplace Helpline; View All Helplines and Treatment Locators; Section 223 Medicaid CCBHC Demonstration and State Programs; CCBHC Expansion Grants; NC : 27549 : 919-496-1247 : FRANKLIN : 919-496-3307 : William NC Provider Directory – Medicaid and NC Health Choice Provider and Health Plan Look Up Tool Now Available bulletin article; Provider and Health Plan Contract Deadlines for Inclusion in Open Enrollment and Auto-Enrollment Medicaid bulletin These NC Medicaid health plans offer Tailored Care Management. If English is not your first language, free interpreter services are available. Providers have the ability to complete the application online as well as electronically sign and submit the application through the portal. Behavioral health training . Includes information on Change of Ownership Requirement, Upcoming Webinars, and more. Find a pharmacy Find A Pharmacy. You may also call our Member and Recipient Services Line at 1-888-235-4673 (TTY: 711; 1-800-735-2962 for English or 1-888-825-6570 for Spanish) to get a copy of the provider directory. Sign In care doctors, specialists, hospitals, and other services in any of our networks. o A provider cannot traditionally be contacted Provider resources for UnitedHealthcare Community Plan of North Carolina products including prior authorization information, provider manuals, forms, recent news and more. Medicaid Services Division Director: Jonelle Berky, 336-703-3711. Learn More Need a Plan Find Tailored Plan Provider Directory Listing and Affiliation Report. - 5 p. Health Plan Contracting. Network Menu. gov 828-837-9719 DHB OST Manager. PDF • 15. gov; Website Feedback; Finding a doctor near you is easy with Healthfirst’s provider directory. NC Medicaid, Division of Health Benefits 2501 Mail Service Center Raleigh, NC 27699-2501. Visit RelayNC for The online provider directory allows beneficiaries to find any Medicaid or NC Health Choice provider and select their health transmitted to the Enrollment Broker from NC Medicaid’s provider data management system nightly. Skip to main content On June 20, 2024, UnitedHealth Group made a press release about a security issue at Change Healthcare that happened on February 21, 2024. As of December 1, 2023, more North Carolinians are able to get health coverage through Medicaid. NCTracks. Users must have a valid One Healthcare ID to use this feature and can learn how to register on our new user page. Morrisville, NC 27560 Phone: 919-651-8401 Fax: 919-651-8672 Crisis Line: 877-223-4617 Counties Served: Cumberland, Durham, Harnett, Johnston, Mecklenburg, Orange, Wake . If a provider is credentialed with Medicaid, does the provider have to be credentialed with Blue Cross NC to be a Healthy Blue provider? No, Blue Cross NC is required to use NC DHHS' primary source verification and does not credential Healthy Blue providers. Travel-related Reimbursements. Click here to If your employer has chosen a Blue Cross NC Select Network, you have access to quality health care with a network of local doctors and hospitals in your area. NC Medicaid Direct is North Carolina’s health care program for Medicaid beneficiaries who are not enrolled in health plans. I want to search for Wellcare Medicare Providers I want to search for WellCare Medicaid Providers. gov; Website Feedback; Online: NC Medicaid Division of Health Benefits Medicaid Providers. Back To find a doctor, specialist, hospital, healthcare facility, or other type of in NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000 Customer Service Center: 1-800-662-7030 Visit RelayNC for information about TTY services. Providers should continue to contract with health plans. We provide physical health services, behavioral health services, Below is information used in the provider directory to indicate accessibility at a provider office or build- Ensure Your Information Displays Correctly in NC’s Provider Directory – Medicaid and NC Health Choice Provider and Health Plan Look-Up Tool. Division of NC Medicaid, Division of Health Benefits 2501 Mail Service Center Raleigh, NC 27699-2501. Interim reports are temporarily available on the Managed Care Provider Playbook Resources page Ensure Your Information Displays Correctly in NC’s Provider Directory – Medicaid and NC Health Choice Provider and Health Plan Look-Up Tool. To request a hard copy of the provider manual and/or provider directory from the plan at no cost, call Healthy Blue Provider Services at 844-594-5072. Members that find incorrect information or have questions should email: Questions@partnersbhm. NOTE: Please do not submit NC Medicaid applications to this email. The local DSS directory is accessible below: Link to Local DSS Offices Directory . to 5 Anthem - Provider Finder is a platform to locate in-network Anthem providers and estimate healthcare costs. You can search our ‘Find Care’ directory by plan, look up doctors by name Provider Affiliation Report. org. Preferred Drug List - NC Medicaid. com). Download & search by NPI numbers the most recent published copy of NC Medicaids Standard Plan Find a Provider. Board of Commissioners. ProviderOmbudsman@dhhs. More information about demographic verification. NC Tracks; Provider Portal; Zixmail; Health Benefits (NC Medicaid) Health Service Regulation; Mental Health, Developmental Disabilities and Substance Use Services; Office of Economic Opportunity; Family Caregiver Specialist Provider Directory. The latest updates and information for providers. 1, NC Medicaid Contact Center Phone: 888-245-0179. And if your household income falls within the chart below: If someone is pregnant, they may be eligible for other NC Medicaid programs About Healthy Blue. Find a Provider Need help finding a health care provider? Vaya has an easy-to-use search tool that makes it simple to locate a provider near you who participates in the Vaya Health network. The directory is one of the first, and probably the most important, gateways in a person’s Colorado: If you wish to file a complaint with Humana or with the Colorado Division of Insurance related to the accuracy of the provider directory and/or the provider experience, you may do so as follows: With Humana: Contact Humana at the phone number on the back of your ID card. This printable provider directory is updated at least quarterly. Alliance Health Tailored Plan/PIHP Provider Manual. Transformation@dhhs. Questions: Medicaid. Provider North. Find information to help you get ready and stay updated. Health Benefits (NC Medicaid) Health Service Regulation; Mental Health, Developmental Disabilities and Substance Use Services; Office of Economic Opportunity; Case Management Provider Directory. gov/localdss. Best practices specifically include, but are not limited to: o A provider opts out of being in the directory, such as when the provider is not open to the general public (e. com ; Phone: 844-594-5072; UnitedHealthcare of North Carolina, Inc. Do you need help finding a doctor or healthcare provider? Use the search tool on Amerigroup. Medicaid Provider Training New Provider Portal Training HEDIS Provider Training Visit our Electronic Claims page, or email NC Provider Relations for more information. For archived versions of clinical coverage policies, NC Medicaid, Division of Health Benefits 2501 Mail Service Center Raleigh, NC 27699-2501. Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc. If you are not registered with NC Medicaid, visit . Trillium allows Providers to submit a written appeal request through Trillium's online Provider portal, Vaya Health Provider Directory Listing 08/10/2020 ALAMANCE COUNTY ARMC PHYSICIANS CARE, INC 1236 HUFFMAN MILL RD, STE 1500 BURLINGTON, NC 27215 336-538-8160 lois. NCTracks is the new multi-payer Medicaid Management Information System for the NC Department of Health and Human Services (NC DHHS). com ©WellCare 2024 3474464_NC4PCADMANE Internal Approved MMDDYYYY . , a student health center open only to students of the educational organization). of . gov 984-269-2721 (office) PCPs can obtain an online copy of the Provider Manual and view the Provider Directory at www. We have a large network of doctors for you to choose from. NC Medicaid Temporary Flexibilities Due to Hurricane Helene. secure provider portal: https://provider. We work with thousands of doctors, specialists, and hospitals throughout North Carolina, and we partner with many local organizations to help you get the care and Check out helpful resources about NC Provider Directory and Medicaid and NC Health Choice Provider and Health Plan Look-Up Tool on our blog this week! Medicaid Managed Care: Ensure Your Information Displays Correctly in NC’s Provider Directory Note: NC Session Law 2022-74 eliminates NC Health Choice and moves beneficiaries to Medicaid. More. Our Provider Directory is an important resource for our members and recipients, along with network and referral management. Follow Us. NC Medicaid Managed Care Provider Update – November 27, 2024. 901 South New Hope Road Gastonia, NC 28054 Phone: 888-235-4673 Fax: 704-884-2713 Crisis Line: 833-353-2093 The NC Medicaid Provider and Health Plan Lookup Tool provides an online resource for beneficiaries to research and, in some cases, select a health plan and PCP. Most Recently Updated. The NC Medicaid, Division of Health Benefits 2501 Mail Service Center Raleigh, NC 27699-2501 The search options below can be used to find a Medicaid Provider near you. Starting on April 13, 2021, interim reports are temporarily available on the Managed Care Provider Playbook Resources page to assist providers in verifying their records. •Claims/billing Hours of Operation: vary by county. COVID-19 Vaccine and Reimbursement Guidelines for NC Medicaid Member Handbook: Includes covered services, benefits and information to improve your health. La capacitación en Competencias Culturales informa a los proveedores cómo cuidar a todos los Use the Provider Finder tool to locate healthcare providers in the Healthy Blue network. NC Medicaid Contact Center Phone: 888-245-0179. Official Medicare site. To all beneficiaries enrolled 6. Effective April 1, 2023, Medicaid is the only NC DHHS health plan offered by DHB. com Insurance: Medicaid Accepting New Patients: Yes Languages: English Staff Trained in Cultural Diversity: No In Virginia's Medicaid Managed Care program, you are a member of a Managed Care Organization (MCO). Box 220999, Charlotte, NC 28222 State Courier #: 05-14-12 Phone: 704-336-3000 Fax Number: 704-353-1325 Report Abuse (Child Protective Services): 980-31-HELPS (43577) Report Abuse (Adult Protective Services): 704-336 Medicaid Specialist Provider List (PDF) - April 2018. Related Information. To help North Carolinians know who is eligible and how to apply, the North Carolina Department of Health and Human Services (NCDHHS) has a website that contains a bilingual toolkit and a sign-up form to stay updated on the most current Medicaid Provider Manual wellcarenc. Local DSS Directory. to 5 p. gov; Website Feedback; Trillium provides written notice of a Provider's appeal rights with the notice of decision giving rise to the Provider's right to appeal. Provider Directory Help County: All Atlantic Bergen Burlington Camden Cape May Cumberland Delaware Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris New York Ocean Other Out of State Passaic Pennsylvania Salem Points of contact for health plan members (people in NC Medicaid Managed Care) may differ from thosefor beneficiaries in NC Medicaid Direct. Interim reports are temporarily available on the Managed Care Provider Playbook Resources page Provider Services: 844-594-5072 Behavioral Health Crisis Line: is the major integrated model for NC. If you are an NC Medicaid enrolled provider and you are unable to find your practice’s information in the Provider Directory Listing Report, or if your practice’s information is outdated, please submit a Manage Change Request (MCR) to update the applicable NCTracks provider record. Verify Practice/Facility & Provider Enrollment There are two ways to verify a health center’s practices and providers participation and enrollment for with each of the Medicaid plans: 1. Non-emergency medical transportation (NEMT) • Primary care provider (PCP) changes • Replacement Medicaid ID card Directory: ncdhhs. NC General Assembly Delegation LME-MCOs set the fee schedules for their own provider networks. Care. standards of care and service. July 1, 2021 – Medicaid Managed Care launch; LIVE NOW: NC’s Provider Directory – Medicaid and NC Health Choice Provider and Health Plan Look-Up Tool. The online provider directory allows beneficiaries to find any Medicaid or NC Health Choice provider and select their health transmitted to the Enrollment Broker from NC Medicaid’s provider data management system nightly. COUNTY SPECIALTY GROUP/FACILITY NAME PROVIDER FIRST NAME PROVIDER LAST NAME ADDRESS CITY STATE ZIP CODE PHONE BLADEN General Dentist VESTAL TRACIE TRACIE VESTAL 500 W BROAD ST ELIZABETHTOWN NC 28337 (910) 862-4078 Y Medicaid beneficiaries may receive dental treatment from any dentist who is enrolled in the NC NC Medicaid Medicaid Drug Testing for Opioid Treatment and Clinical Coverage Policy No:1S-8 Controlled Substance Monitoring Amended Date: April 1, 2023 23C29 i . NC Medicaid Contact Center. Medicaid Provider Training New Provider Portal Training HEDIS Provider Training NC HealthConnex Support. Non-members may download and print search results from the online directory. If you're browsing and want to find a provider based on the networks or plans they accept, please select 'Search by Network or Plan' Find Care Icon. Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, Become a Blue Cross NC provider Most Our networks are made up of commercial, Blue Medicare, Healthy Blue Medicaid, Do you need help finding a doctor or healthcare provider? Use the search tool on Wellpoint. m. Related Links. Afton Harvell Afton. ; Benefits Summary: Lists benefits that are available to you. 4 . WellCare of North Carolina Providers 1-866-799-5318. Provider Bulletins. Harvell@dhhs. berrong@dhhs. com . Ensure Your Information Displays Correctly in NC’s Provider Directory – Medicaid and NC Health Choice Provider and Health Plan Look-Up Tool. All Providers. The NC Medicaid Ombudsman helps NC Medicaid beneficiaries understand NC Medicaid Managed Care. AUDIT Alcohol Use Questionnaire; ASSIST SUD Screening; Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. CCNC CA Primary Care Provider Availability Report EXTERNAL 7 28 NC Medicaid Contact Center Phone: 888-245-0179. You need a referral from your Primary Care Provider (PCP) to see a specialist. Providers interested in contracting with WellCare of North Carolina Email: NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000 Customer Service Center: 1-800-662-7030 Visit RelayNC for information about TTY services. Inclusion in this directory does not always mean that they are accepting new patients or that they accept all insurance plans, Medicare or Medicaid. Last Updated. Need help? The Provider Directory Listing Report and Provider Affiliation Report is now available to providers as they prepare for Medicaid is available on the NC Medicaid Provider Playbook Resources webpage. November 27, 2024. You may do a basic search based on location and provider type, or click 'More Options' to enter detailed Medicaid Provider criteria. January 20, 2024. Prior Authorization Request Form. org and click on Find a Provider at the top of the page to see our provider directory for NC Medicaid Direct and Tailored Plan. The NCTracks Enrolled Practitioner Search Results do not guarantee claims payment or prior approval, nor manage NC Medicaid Tailored Plans; coordinate certain services for NC Medicaid Direct beneficiaries; coordinate certain services for EBCI Tribal Option members; There is one What is the Medicaid and NC Health Choice Provider and Health Plan Look Up tool? This is the Enrollment Broker’s Provider Directory – the tool Medicaid and NC Health Choice beneficiaries The lookup tool contains all active Medicaid and NC Health Choice providers including primary care providers, behavioral health providers, specialists, hospitals, and facilities. Raleigh NC 27699-2501. It has three Beginning January 1, 2025, Aetna® will administer the North Carolina State Health Plan network, and members will need to re-choose a primary care provider (PCP) in the fall of 2024. Provider guidance for reimbursement, enrollment and providing care for Medicaid beneficiaries. Dear Provider Partner: At WellCare we value everything you do to deliver quality care o This is the Enrollment Broker’s Provider Directory – the tool Medicaid and NC Health Choice beneficiaries may use for selecting their Health Plan and Primary Care Provider (PCP). Applicants, beneficiaries and providers should contact their local DSS office for support. Inquiries may be submitted to Medicaid. Trillium now serves 46 counties in the combined region. . As of the end of August 2019, several issues have been identified with the search function in the Enrollment Broker Provider Directory, including duplicate results, and difficulty finding doctors based on specific criteria such as gender or name. Executive Team Deputy Secretary, NC Medicaid . 17 KB - January 20, 2024 First Published. Notification of Withholds, Incentive Payments, and Quality Metrics for Healthy Opportunities Pilots VBP Period 3 Implementation. Carolina. com. Since 1933, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has helped millions of North Carolinians get and stay healthy. Skip to main content. Hours of Operation: Monday - Friday, 8 a. Using this care provider manual If there is a conflict between your Agreement and this care provider manual, use this care provider manual, unless your Agreement states you should utilize the Agreement, instead. Ensure Your Information Displays Correctly in NC’s Provider Directory Tool – Medicaid and NC Health Choice Provider and Health Plan Look-Up As NC Medicaid moves forward with the implementation of Medicaid Managed Care, it is important for enrolled providers to act now to thoroughly review their individual and organization provider enrollment record in Provider/Stakeholder Request for Coverage Form. NCTracks Contact Center: 800-688-6696. In preparation for the launch of the NC’s Provider Directory Tool – Provider & Health Plan Look-Up. Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. You may also enter part of a name for which you are searching. Box 1066 State Courier #: 14-42-05 Phone: 919-718-4690 Fax Number: 919-718-4634 Emergency Phone: Lee County Department of Social Services | NCDHHS Skip to main content Welcome to Vaya Health! Use the information below to get started as a member of Vaya Health and reach out to our Member and Recipient Services line at 1-800-962-9003 with any questions. Search for Providers in your Plan. Medicaid Expansion Tools and Resources. When a provider utilizes the NCTracks Manage Change Request process to modify their provider enrollment record, the new Directory: LME/MCO Directory. ebcitribaloption. As part of Trillium Health Resources, we are proud to continue managed care services to North Carolina’s NC Medicaid Direct population. January 10, 2023. If you need help or prefer to speak to someone on the phone, call THE Member and Recipient Service LINE at 1-800-962-9003. , Cigna HealthCare of Illinois, Inc. Partners Health Management Office. com or call 844-594-5072. LME-MCO fee schedules can be obtained by contacting the LME-MCO. com to find Medicare, Medicaid, and Medicare-Medicaid providers. As needed, you may enroll in NCHC to cover Medicaid. If you have questions or need assistance, please contact the CSRA Call Center at 800-688-6696. February 9, 2022. Supported plans include UnitedHealthcare Dual Complete® RP (Regional PPO SNP) R1548-001 and UnitedHealthcare Dual Complete® (HMO SNP) H5253-041. If you need something translated into a language other than English, please call Carolina Complete Health at 1-833-552-3876 (TTY: 711). NC Medicaid offers providers a secure and convenient method to complete and submit enrollment applications through the NCTracks Provider Portal. PDF • 152. O. Medicaid. The NC Medicaid Enrollment Broker can help you find your health care option: call 1-833-870-5500. o The provider directory contains all active Medicaid and NC Health Choice providers, including primary care providers, specialists, hospitals and organizations. com to find Medicare, Medicaid and Medicare-Medicaid providers. Christy Berrong christy. Most beneficiaries receiving Medicaid transitioned to NC Medicaid Managed Care. View claims, get a new ID card, update your information, and more! When searching by name, you can enter first and/or last name. Documents. Directory_Affiliation_Report_SP_20221024. You may do a basic search based on location and provider type, or click 'More Options' to enter detailed Medicaid The Enrolled Practitioner Search feature allows NCTracks providers to inquire about other providers enrolled in N. priest@conehealth. North Carolina Provider Directory Listing, Aug. Jay Ludlam Phone: 919-527-7000 North Carolina Provider Directory Directorio de Proveedores de North Carolina Forsyth CAD_172727M_ State Approved 12022022 Indian. New value-added and in lieu (pronounced “loo”) of services that are created by Trillium and approved by NCDHHS to uniquely meet the needs of our . Medicaid Program Manager for Adult Medicaid: Alison Westbrook, 336-703-3853. Standard Plan Provider Directory Listing and Affiliation Report. Thank you for your continued assistance in maintaining a comprehensive, integrated and accurate Member-facing Provider Directory. If you have questions, you can call AmeriHealth Caritas North Carolina Provider Services at 1-888-738-0004. nc. ; Health and Wellness: Includes health information on a You are a citizen (some non-US citizens can also get health care coverage through Medicaid). 133 Information about providers in our Provider Network Directory is submitted by providers. We are constantly investing in . They are still trying to figure out whose provider in a consumer-facing directory. pdf. Schedule directly! NC Medicaid, Division of Health Benefits 2501 Mail Service Center Raleigh, NC 27699-2501. NCTracks Provider Enrollment provides the online application and a checklist for provider qualifications and requirements. Visit our Find a Provider Help Page. 16 MB - May 10, 2018 Contact Information. Contracted Providers 1-866-799-5318. gov. When is the Healthy Blue provider directory updated? Search for a doctor that accepts Medicaid coverage using this online tool from Humana. Related Topics: Bulletins. 112 (a)(1). 2. wellcarenc. 17 KB - January 10, 2023 First Published. CCH NC 2020 Directory Cvr 2019 7-3. nctracks. The search options below can be used to find a Medicaid Provider near you. The NC HealthConnex team is committed to supporting those affected by Hurricane Helene. Contact Information. For DSS staff, if the beneficiary does not know if he or she is in a health plan, check theBenefit History tab of the Person page in NC FAST to find out. g. Address: 530 Carthage St. Find doctors, pharmacies, hospitals and more. Beneficiaries NCMT_Provider_FactSheet-Provider Directory_20221010. Non-Emergency Medicaid Transportation: Qianna Martin, 336-703-3909 . gov or by calling the NC Medicaid Managed Care An updated provider directory that includes physical health care providers. About Blue e Provider Portal NC Medicaid Ombudsman . Search for a provider Use our online tool to search for a primary care provider (PCP), hospital, or other health care provider. Use our easy and convenient form to find a dentist within the Liberty Dental network. The Enrolled Practitioner Search feature allows NCTracks providers to inquire about other providers enrolled in N. Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. , and Cigna HealthCare of North Carolina, Inc. Beneficiaries required to transition received a See more The provider directory contains all active Medicaid and NC Health Choice providers, including primary care providers, specialists, hospitals and organizations. Provider Directory Search Tool; Beneficiary Handbook. NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000 Customer Service Center: 1-800-662-7030 Visit RelayNC for information about TTY services. Provider Playbook for NC Medicaid Managed Care. Effective: November 3, 2022 Page . North_Carolina_Provider_Directory_Listing_20210801. 1, 2021. healthybluenc. The consolidation prioritizes doing what is best for members and providers, focuses on whole-person care, and promotes continued investment in the communities we serve. , Sanford, NC 27330 P. Medicaid Indian. Contact. Partners in Quality Care . Create your own online account today! It's free and easy! You will have access to your health care information. WellCare of North Carolina; Member Login; Medicare. Find out if your doctor, drug, or pharmacy is in-network, or explore Helpful resources. C. wellcare. For information on how to apply for NC Medicaid, see the How to Apply webpage. Medicare: D-SNP Patients Must Author: NC Medicaid Provider Services, (919) 527-7200. Beneficiaries were able to choose a health plan and a primary care provider (PCP). 10, 2025) and the Tailored Plan Provider Directory Listing and Affiliation Report (generated Jan. If you need help searching for a Blue Cross NC has robust search tools to help you find in-network doctors, hospitals, specialty pharmacies and urgent care in your state or across the country. xlsx. To request a hard copy of the Provider Manual and/or Provider Directory from the plan at no cost, please call Provider Services 1-800-260- Provider Information for NC Medicaid Acentra Health will help enhance quality through increased provider training and technical support, outreach to under-served LTSS eligible beneficiaries, and coordination 2025, and posted to the NC Medicaid website. WellCare Health Plans North Carolina Medicaid Provider Manual . In addition, you'll find directories for mental health clinicians and facilities. PDF • 4. gov; Website Feedback; CAP DA Lead Agency Directory. The best relationships are formed by staying in touch. gov; Website Feedback; Accessibility; NC Medicaid, Division of Health Benefits 2501 Mail Service Center Raleigh, NC 27699-2501. Visit the Provider Playbook for fact sheets, training, webinars and other resources to help you transition to managed care. Skip to main content An official Health Benefits (NC Medicaid) Health Service Regulation; Mental Health, NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000 Customer Service Center: 1-800-662-7030 Use our online directory to connect with a Cone Health affiliated primary care or specialty physician or advanced practice provider. Only your PCP can refer you to another doctor. Find a Provider Welcome to NCTracks - Find a Provider. indd 1 7/3/19 11:29 AM. 10, 2025) contains information for all active NC Medicaid individual and organization providers published on the NCEB website and mobile app. Call the PCP listed on your Medicaid or Health Choice ID card. Healthy Blue is our health plan for Medicaid members. This feature provides the capability to validate provider information for billing, attending, referring, rendering, ordering, and prescribing providers. This feature provides the capability to validate provider Provider Directory: Region 3-12 - English/Spanish (PDF) Serving Gaston county; Provider Directory: Region 3-13 - English/Spanish (PDF) Serving Cabarrus county; Provider Directory: The search results only include providers active in Medicaid as of today's date. Medicaid Member Services: 1-833-552-3876 (TTY 711). Medicaid Transition to NC Medicaid Managed Care . 111(b)(3)(i); 422. The Provider Directory Listing and Affiliation Report contains all active NC Medicaid providers and offers a resource to providers to confirm the information visible to NC Medicaid beneficiaries in the Lookup Tool. Monday-Friday 8 a. LME/MCO Directory; Tailored Care Management including Request for NC Medicaid, Division of Health Benefits 2501 Mail Service Center Raleigh, NC 27699-2501. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000 Customer Service Center: 1-800-662-7030 Visit RelayNC for information about TTY services. Claims and Billing. Find My Plan; 2025 Medicare Basics; 2025 Medication Therapy Management; Video Library; Member Login; Prescription Drug Plans. nc. • If the Individual provider affiliation information is incorrect, the Health Benefits (NC Medicaid) Health Service Regulation; Mental Health, Provider Monitoring Tools. Contact your Account Executive. Behavioral health forms . Call your Tailored Plan or check the provider directory on their website: Alliance Health, 1 LTSS Provider Advisory Group . To learn more about NC Medicaid Managed Care, go to the NC Medicaid Managed Care Website. Visit RelayNC North Carolina Provider Directory Listing July 25, 2021. Search by Network or Plan. 0 Provider(s) Eligible to Bill for the Procedure, Product, or Service Medicaid Rates FY24. When a provider utilizes the NCTracks Manage Change Request process to modify their provider enrollment record, the new Skip to main content Provider Directory Listing Report. Printable provider directory PDF See a printable list of health care providers. If there is a conflict between your The Provider Ombudsman service is separate from the health plans’ process and should be used only as an escalation after contacting health plans and seeking guidance through the NC Medicaid Help Center. Call the one listed on your health plan ID card or in your health plan welcome letter: Alliance Health, 1-800-510-9132, TTY: 711 or 1-800-735-2962; Partners Health Management, 1-888-235-4673, TTY/English: 1-800-735-2962, TTY/Spanish: 1-888-825-6570; Language Assistance. NC Medicaid via NC Tracks, visit . Member Handbook This handbook NC Medicaid Managed Health plan contacts and sample contracts. Medicaid Program Manager for MAGI Medicaid Case Management: Vacant, 336-703-3869. NC Medicaid Direct The Standard Plan Provider Directory Listing and Affiliation Report (generated Jan. Carolina Complete Health provides health care services for the North Carolina Medicaid program. uzyed hxxlz kmuo vrgd lwlqg bcedac dymaa mbgxkq nsj wzpyy