Healthy Blue is the Medicaid plan offered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC) to serve North Carolinians who participate in the state Medicaid program.
Blue Cross NC embraces the mission to improve the health and well-being of members and communities.
On this site, you will find resources that help health care professionals do what they do best — care for our members.
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.
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.
CAQH EnrollHub, which has been temporarily offline, will be operational on January 27, 2020.
DHHS Suspends Implementation of Managed Care
Policy outlining the Centralized Provider Enrollment and Credentialing process.
The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.
Don't have an Availity account? Register free now!
Search for up-to-date drug information, including hundreds of brand-name and generic medications.
We offer a proactive care management program for expectant mothers and their newborns. The My Advocate™ program provides pregnant women with proactive outreach and education through interactive voice response (IVR), text or smartphone application.
We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts, and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.
