NC Medicaid Beneficiaries Urged to Find Plans Under New Managed Care
Tuesday, August 24, 2021
RALEIGH, N.C. -- North Carolina residents who rely on Medicaid have until Sep. 30 to switch healthcare plans under the state's new managed care system.
Nearly 1.6 million people currently receive Medicaid benefits.
Rebecca Friedman, attorney in the family support and health-care unit at the Charlotte Center for Legal Advocacy, explained last month the state switched from a fee-for-service model to a system where individuals must access care through pre-paid, individual health plans managed by a handful of private companies.
"It operates more like private insurance, which is familiar to many people," Friedman pointed out. "But for so many people on Medicaid in North Carolina, this is just completely new and entirely different from what they've known their whole lives."
Medicaid beneficiaries can visit ncmedicaidplans.gov to make sure the providers they need to see are in the network of the Prepaid Health Plan they've selected or been assigned to.
Friedman advised if your doctor is not listed in that plan's network, you should request to change plans.
Friedman added in order to avoid hiccups in accessing care, its critical residents pay attention to what plan they are in, and noted individuals who need enhanced behavioral health services for mental illness, substance abuse or intellectual disability can fill out an online form to request to remain in N.C. Medicaid Direct.
"We really want to make sure that individuals are finding out now what plans their providers are in and switching to that plan," Friedman urged.
She emphasized resources are available to help.
"For individuals who need to change plans, or find out what plans their providers are in, the enrollment broker is the resource that they can contact to change their plans or find out about provider networks," Friedman stated.
The Enrollment Broker can be contacted by phone at 1-833-870-5500.
Individuals also can reach out to the North Carolina Medicaid Ombudsman, a resource providing education, guidance, referrals, and informal issue resolution for Medicaid beneficiaries as they transition into the managed-care system. The Ombudsman can be contacted by phone at 877-201-3750 or online.
get more stories like this via email
Health and Wellness
SACRAMENTO, Calif. - Saturday is National Prescription Drug Take-Back Day, when the Drug Enforcement Administration encourages everyone to clean out …
Health and Wellness
BALTIMORE - This month marks the four-year anniversary of the #MeToo movement, and an art project aims to help incarcerated survivors heal by telling …
OGDEN, Utah - Utah is one of only a handful of states that taxes food, but one state legislator says taxing groceries should become a thing of the …
CASPER, Wyo. - A strong majority of voters across party lines say they want national rules similar to those passed in Wyoming to reduce methane …
BISMARCK, N.D. - A portion of American Rescue Plan funding sent to North Dakota has yet to be divvied up. Groups that want to improve the child-care …
PITTSBURGH - As businesses across the country deal with a massive labor shortage, Pennsylvania aims to entice people back to the workplace by …
ALBANY, N.Y. - Environmental groups want Gov. Kathy Hochul to sign a bill that mandates monitoring the state's drinking water for "emerging …
JEFFERSON CITY, Mo. - Gov. Mike Parson is facing calls to get the Missouri Cybersecurity Commission off the ground after it was created by the …