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Medicaid Providers

Welcome!

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.

Focused on the health of each member

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.

Provider news

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.

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.

Availity access

The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.

At Availity you can:

Request Authorizations
Submit Claims
Confirm Eligibility

Don't have an Availity account? Register free now!

Featured resources


Pharmacy information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Maternal Child Program

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.

Behavioral health providers

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.

Provider tools & resources

Interested in becoming a provider in the Healthy Blue network?

We look forward to working with you to provide quality services to our members.