Notice about NC Medicaid Managed Care Suspension
North Carolina has suspended the transition of Medicaid and NC Health Choice to managed care. Nothing will change for Medicaid and NC Health Choice beneficiaries; they will get health services as they do today. All health providers enrolled in Medicaid will continue to submit claims through NCTracks as they do today. Health providers should continue contracting with health plans during the suspension as broad provider participation in health plan networks will help beneficiaries understand which providers are available to them before open enrollment restarts.
Beginning April 1, 2020, the Healthy Blue provider support line is no longer in service due to the Managed Care suspension. If you would like to speak with a Blue Cross and Blue Shield of North Carolina representative about contracting, please contact our Healthy Blue Network Development team at 1-844-415-2045 or email NCProviderQuestions@NCHealthyBlue.com. For more information on the suspension, please visit Medicaid Managed Care Questions and Answers for Providers.
The latest articles and announcements can be found here on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.
Updates on the status of COVID-19 in North Carolina
On March 10, 2020, Governor Cooper declared a State of Emergency in response to COVID-19. For current updates on the status of COVID-19 in North Carolina, please see the North Carolina Department of Health & Human Services (NCDHHS) COVID-19 website.
EFT Enrollment Notification
CAQH EnrollHub, which has been temporarily offline, will be operational on January 27, 2020.
Legislators Adjourn Without Taking Actions Required for Medicaid Managed Care
DHHS Suspends Implementation of Managed Care
Provider Credentialing and re-credentialing process
Policy outlining the Centralized Provider Enrollment and Credentialing process.