In 2015, the N.C. General Assembly enacted legislation directing the Department of Health and Human Services (DHHS) to transition Medicaid and N.C. Health Choice from fee-for-service to managed care. Under managed care, the state contracts with insurance companies, which are paid a predetermined set rate per person to provide all services.
The Department was on track to go live on Feb. 1, 2020; however, with the adjournment of the N.C Legislature without taking the action required, all actions have been suspended. N.C. Medicaid will continue to operate under the current fee-for-service model, with Medicaid beneficiaries continuing to receive Medicaid care and services with no changes. Primary care providers will stay the same, and beneficiaries will not need to choose a Medicaid Managed Care Health Plan at this time.
If you, or someone you know, receives Medicaid. visit N.C. Medicaid’s Division of Health Benefits website (click on the link below) for Frequently Asked Questions and Answers. For other questions, please call the Medicaid Contact Center at 1-888-245-0179. The Contact Center is open Monday through Friday from 1 a.m. until 5 p.m.