Nc medicaid provider directory. For archived versions of clinical coverage policies, .

Nc medicaid provider directory Network Menu. If you need help searching for a Blue Cross NC has robust search tools to help you find in-network doctors, hospitals, specialty pharmacies and urgent care in your state or across the country. 10, 2025) contains information for all active NC Medicaid individual and organization providers published on the NCEB website and mobile app. NCTracks Provider Enrollment provides the online application and a checklist for provider qualifications and requirements. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000 Customer Service Center: 1-800-662-7030 Visit RelayNC for information about TTY services. Trillium now serves 46 counties in the combined region. Search for a provider Use our online tool to search for a primary care provider (PCP), hospital, or other health care provider. Author: Luques, Melanie Find the company (LME/MCO) that manages your Tailored Plan using this directory. , Cigna HealthCare of Illinois, Inc. 10, 2025) and the Tailored Plan Provider Directory Listing and Affiliation Report (generated Jan. Official Medicare site. Prior Authorization Request Form. NCTracks is the new multi-payer Medicaid Management Information System for the NC Department of Health and Human Services (NC DHHS). com. Create your own online account today! It's free and easy! You will have access to your health care information. Raleigh NC 27699-2501. gov 828-837-9719 DHB OST Manager. priest@conehealth. indd 1 7/3/19 11:29 AM. January 20, 2024. gov or by calling the NC Medicaid Managed Care An updated provider directory that includes physical health care providers. 16 MB - May 10, 2018 Contact Information. NCTracks Contact Center: 800-688-6696. Directory_Affiliation_Report_SP_20221024. Behavioral health training . The NC Medicaid Enrollment Broker can help you find your health care option: call 1-833-870-5500. 1, 2021. NC Medicaid Temporary Flexibilities Due to Hurricane Helene. Visit our Find a Provider Help Page. gov 984-269-2721 (office) PCPs can obtain an online copy of the Provider Manual and view the Provider Directory at www. Medicaid Program Manager for MAGI Medicaid Case Management: Vacant, 336-703-3869. Center for Disease Control (CDC) - Patient-Centered Medical Home Model: An approach to delivering high-quality, cost-effective, coordinated care that is team-based, culturally NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000 Customer Service Center: 1-800-662-7030 Visit RelayNC for information about TTY services. If you have questions, you can call AmeriHealth Caritas North Carolina Provider Services at 1-888-738-0004. , a student health center open only to students of the educational organization). Interim reports are temporarily available on the Managed Care Provider Playbook Resources page Provider Services: 844-594-5072 Behavioral Health Crisis Line: is the major integrated model for NC. - 5 p. Health Plan Contracting. DHHS AGENCY Monitoring Tool for Providers Effective October2015 NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000 Medicaid. PDF • 4. gov; Website Feedback; Trillium provides written notice of a Provider's appeal rights with the notice of decision giving rise to the Provider's right to appeal. com to find Medicare, Medicaid and Medicare-Medicaid providers. Dear Provider Partner: At WellCare we value everything you do to deliver quality care o This is the Enrollment Broker’s Provider Directory – the tool Medicaid and NC Health Choice beneficiaries may use for selecting their Health Plan and Primary Care Provider (PCP). healthybluenc. Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, Become a Blue Cross NC provider Most Our networks are made up of commercial, Blue Medicare, Healthy Blue Medicaid, Do you need help finding a doctor or healthcare provider? Use the search tool on Wellpoint. Member Handbook This handbook NC Medicaid Managed Health plan contacts and sample contracts. Effective: November 3, 2022 Page . Box 1066 State Courier #: 14-42-05 Phone: 919-718-4690 Fax Number: 919-718-4634 Emergency Phone: Lee County Department of Social Services | NCDHHS Skip to main content Welcome to Vaya Health! Use the information below to get started as a member of Vaya Health and reach out to our Member and Recipient Services line at 1-800-962-9003 with any questions. Visit RelayNC for The online provider directory allows beneficiaries to find any Medicaid or NC Health Choice provider and select their health transmitted to the Enrollment Broker from NC Medicaid’s provider data management system nightly. Since 1933, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has helped millions of North Carolinians get and stay healthy. Opioid Treatment Program Directory; Drug-Free Workplace Helpline; View All Helplines and Treatment Locators; Section 223 Medicaid CCBHC Demonstration and State Programs; CCBHC Expansion Grants; NC : 27549 : 919-496-1247 : FRANKLIN : 919-496-3307 : William NC Provider Directory – Medicaid and NC Health Choice Provider and Health Plan Look Up Tool Now Available bulletin article; Provider and Health Plan Contract Deadlines for Inclusion in Open Enrollment and Auto-Enrollment Medicaid bulletin These NC Medicaid health plans offer Tailored Care Management. La capacitación en Competencias Culturales informa a los proveedores cómo cuidar a todos los Use the Provider Finder tool to locate healthcare providers in the Healthy Blue network. If you're browsing and want to find a provider based on the networks or plans they accept, please select 'Search by Network or Plan' Find Care Icon. , Sanford, NC 27330 P. North Carolina Provider Directory Listing, Aug. provider. Trillium allows Providers to submit a written appeal request through Trillium's online Provider portal, Vaya Health Provider Directory Listing 08/10/2020 ALAMANCE COUNTY ARMC PHYSICIANS CARE, INC 1236 HUFFMAN MILL RD, STE 1500 BURLINGTON, NC 27215 336-538-8160 lois. Find My Plan; 2025 Medicare Basics; 2025 Medication Therapy Management; Video Library; Member Login; Find a Provider. 301 Billingsley Road, Charlotte, NC 28211 West Charlotte (Community Resource Center) 3205 Freedom Drive, Charlotte, NC 28208 P. You need a referral from your Primary Care Provider (PCP) to see a specialist. 17 KB - January 20, 2024 First Published. With our free mobile app, you can easily find eye care professionals, view benefit eligibility information, and even view your member ID card! Give it a try today: Android iOS Close notice When It Comes to Eye Care, You’ve Got Options Find a Provider Near Me I want to visit an in-network eye doctor in [] Find Medicare-approved providers near you & compare care quality for nursing homes, doctors, hospitals, hospice centers, more. Address: 530 Carthage St. Starting on April 13, 2021, interim reports are temporarily available on the Managed Care Provider Playbook Resources page to assist providers in verifying their records. Español (Spanish): The NC Medicaid Provider and Health Plan Lookup Tool provides an online resource for beneficiaries to research and, in some cases, select a health plan and PCP. Medicaid Provider Training New Provider Portal Training HEDIS Provider Training NC HealthConnex Support. When a provider utilizes the NCTracks Manage Change Request process to modify their provider enrollment record, the new Directory: LME/MCO Directory. Need help? The Provider Directory Listing Report and Provider Affiliation Report is now available to providers as they prepare for Medicaid is available on the NC Medicaid Provider Playbook Resources webpage. nc. • If the Individual provider affiliation information is incorrect, the Health Benefits (NC Medicaid) Health Service Regulation; Mental Health, Provider Monitoring Tools. We can also provide information in You can visit our website at partnersbhm. Using this care provider manual If there is a conflict between your Agreement and this care provider manual, use this care provider manual, unless your Agreement states you should utilize the Agreement, instead. The NC Medicaid, Division of Health Benefits 2501 Mail Service Center Raleigh, NC 27699-2501 The search options below can be used to find a Medicaid Provider near you. 133 Information about providers in our Provider Network Directory is submitted by providers. g. Follow Us. Use these tools to find a network doctor, dentist, or health care facility such as a hospital or urgent care clinic. standards of care and service. 2. Box 220999, Charlotte, NC 28222 State Courier #: 05-14-12 Phone: 704-336-3000 Fax Number: 704-353-1325 Report Abuse (Child Protective Services): 980-31-HELPS (43577) Report Abuse (Adult Protective Services): 704-336 Medicaid Specialist Provider List (PDF) - April 2018. gov. Beneficiaries NCMT_Provider_FactSheet-Provider Directory_20221010. Call the one listed on your health plan ID card or in your health plan welcome letter: Alliance Health, 1-800-510-9132, TTY: 711 or 1-800-735-2962; Partners Health Management, 1-888-235-4673, TTY/English: 1-800-735-2962, TTY/Spanish: 1-888-825-6570; Language Assistance. Health. They can help Medicaid beneficiaries when they are not or about our policies, please call Provider Services at 1-800-638-3302. To request a hard copy of the Provider Manual and/or Provider Directory from the plan at no cost, please call Provider Services 1-800-260- Provider Information for NC Medicaid Acentra Health will help enhance quality through increased provider training and technical support, outreach to under-served LTSS eligible beneficiaries, and coordination 2025, and posted to the NC Medicaid website. Beneficiaries were able to choose a health plan and a primary care provider (PCP). Thank you for your continued assistance in maintaining a comprehensive, integrated and accurate Member-facing Provider Directory. Non-members may download and print search results from the online directory. To all beneficiaries enrolled 6. Printable provider directory PDF See a printable list of health care providers. Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. gov; Website Feedback; Accessibility; NC Medicaid, Division of Health Benefits 2501 Mail Service Center Raleigh, NC 27699-2501. 0 Provider(s) Eligible to Bill for the Procedure, Product, or Service Medicaid Rates FY24. Preferred Drug List - NC Medicaid. nctracks. com ; Phone: 844-594-5072; UnitedHealthcare of North Carolina, Inc. 901 South New Hope Road Gastonia, NC 28054 Phone: 888-235-4673 Fax: 704-884-2713 Crisis Line: 833-353-2093 The NC Medicaid Provider and Health Plan Lookup Tool provides an online resource for beneficiaries to research and, in some cases, select a health plan and PCP. Contact Information. Search for Providers in your Plan. NOTE: Please do not submit NC Medicaid applications to this email. Related Topics: Bulletins. Users must have a valid One Healthcare ID to use this feature and can learn how to register on our new user page. Skip to main content NC_Provider@healthybluenc. Only your PCP can refer you to another doctor. Carolina Complete Health provides health care services for the North Carolina Medicaid program. Hours of Operation: Monday - Friday, 8 a. Do you need help finding a doctor or healthcare provider? Use the search tool on Amerigroup. Skip to main content On June 20, 2024, UnitedHealth Group made a press release about a security issue at Change Healthcare that happened on February 21, 2024. This feature provides the capability to validate provider Provider Directory: Region 3-12 - English/Spanish (PDF) Serving Gaston county; Provider Directory: Region 3-13 - English/Spanish (PDF) Serving Cabarrus county; Provider Directory: The search results only include providers active in Medicaid as of today's date. Last Updated. In addition, you'll find directories for mental health clinicians and facilities. gov; Website Feedback; Online: NC Medicaid Division of Health Benefits Medicaid Providers. com . New value-added and in lieu (pronounced “loo”) of services that are created by Trillium and approved by NCDHHS to uniquely meet the needs of our . O. For archived versions of clinical coverage policies, NC Medicaid, Division of Health Benefits 2501 Mail Service Center Raleigh, NC 27699-2501. Beneficiaries required to transition received a See more The provider directory contains all active Medicaid and NC Health Choice providers, including primary care providers, specialists, hospitals and organizations. Claims and Billing. wellcare. Partners in Quality Care . Alliance Health Tailored Plan/PIHP Provider Manual. LME/MCO Directory; Tailored Care Management including Request for NC Medicaid, Division of Health Benefits 2501 Mail Service Center Raleigh, NC 27699-2501. Use our easy and convenient form to find a dentist within the Liberty Dental network. to 5 Anthem - Provider Finder is a platform to locate in-network Anthem providers and estimate healthcare costs. •Claims/billing Hours of Operation: vary by county. January 10, 2023. The local DSS directory is accessible below: Link to Local DSS Offices Directory . com ©WellCare 2024 3474464_NC4PCADMANE Internal Approved MMDDYYYY . Christy Berrong christy. 112 (a)(1). to 5 p. Questions: Medicaid. Behavioral health forms . The consolidation prioritizes doing what is best for members and providers, focuses on whole-person care, and promotes continued investment in the communities we serve. If you are an NC Medicaid enrolled provider and you are unable to find your practice’s information in the Provider Directory Listing Report, or if your practice’s information is outdated, please submit a Manage Change Request (MCR) to update the applicable NCTracks provider record. WellCare Health Plans North Carolina Medicaid Provider Manual . It has three Beginning January 1, 2025, Aetna® will administer the North Carolina State Health Plan network, and members will need to re-choose a primary care provider (PCP) in the fall of 2024. Or, call the NC Medicaid Enrollment Broker at 1-833-870-5500 (TTY: 711 or RelayNC. To learn more about NC Medicaid Managed Care, go to the NC Medicaid Managed Care Website. As needed, you may enroll in NCHC to cover Medicaid. Skip to main content. ; Benefits Summary: Lists benefits that are available to you. As of December 1, 2023, more North Carolinians are able to get health coverage through Medicaid. Most beneficiaries receiving Medicaid transitioned to NC Medicaid Managed Care. Contracted Providers 1-866-799-5318. Medicaid Transition to NC Medicaid Managed Care . Health Benefits (NC Medicaid) Health Service Regulation; Mental Health, Developmental Disabilities and Substance Use Services; Office of Economic Opportunity; Case Management Provider Directory. Providers interested in contracting with WellCare of North Carolina Email: NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000 Customer Service Center: 1-800-662-7030 Visit RelayNC for information about TTY services. Documents. If you need something translated into a language other than English, please call Carolina Complete Health at 1-833-552-3876 (TTY: 711). Medicare: D-SNP Patients Must Author: NC Medicaid Provider Services, (919) 527-7200. If you notice any errors in your information in the directory, contact Provider Recruitment at 1-844-399-0474. Schedule directly! NC Medicaid, Division of Health Benefits 2501 Mail Service Center Raleigh, NC 27699-2501. If you drive yourself to an appointment, or if a family member or friend gives you a ride, you might get money back for travel costs. LME-MCO fee schedules can be obtained by contacting the LME-MCO. Medicaid Expansion Tools and Resources. NC Tracks; Provider Portal; Zixmail; Health Benefits (NC Medicaid) Health Service Regulation; Mental Health, Developmental Disabilities and Substance Use Services; Office of Economic Opportunity; Family Caregiver Specialist Provider Directory. NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000 Customer Service Center: 1-800-662-7030 Visit RelayNC for information about TTY services. They are still trying to figure out whose provider in a consumer-facing directory. The Medicaid and NC Health Choice Provider and Health Plan Lookup Tool is now available at https://ncmedicaidplans. Find information to help you get ready and stay updated. NC Medicaid offers providers a secure and convenient method to complete and submit enrollment applications through the NCTracks Provider Portal. South Carolina Department of Health and Human Services makes up-to-date Medicaid provider directory information available to the public in compliance with the Code of Federal Regulations (CFR) Title 42 Section 422. gov; Website Feedback; CAP DA Lead Agency Directory. 111(b)(3)(i); 422. Monday-Friday 8 a. Standard Plan Provider Directory Listing and Affiliation Report. To help North Carolinians know who is eligible and how to apply, the North Carolina Department of Health and Human Services (NCDHHS) has a website that contains a bilingual toolkit and a sign-up form to stay updated on the most current Medicaid Provider Manual wellcarenc. North_Carolina_Provider_Directory_Listing_20210725. The NC Medicaid Ombudsman helps NC Medicaid beneficiaries understand NC Medicaid Managed Care. Contact your Account Executive. 132 . Healthy Blue is our health plan for Medicaid members. Best practices specifically include, but are not limited to: o A provider opts out of being in the directory, such as when the provider is not open to the general public (e. Find a Select Network doctor or facility in or outside of your home area. Call the PCP listed on your Medicaid or Health Choice ID card. To request a hard copy of the provider manual and/or provider directory from the plan at no cost, call Healthy Blue Provider Services at 844-594-5072. NC Medicaid Contact Center Phone: 888-245-0179. Medicaid Program Manager for Adult Medicaid: Alison Westbrook, 336-703-3853. Call your Tailored Plan or check the provider directory on their website: Alliance Health, 1 LTSS Provider Advisory Group . nc. 132 Important Telephone Numbers. Jay Ludlam Phone: 919-527-7000 North Carolina Provider Directory Directorio de Proveedores de North Carolina Forsyth CAD_172727M_ State Approved 12022022 Indian. For DSS staff, if the beneficiary does not know if he or she is in a health plan, check theBenefit History tab of the Person page in NC FAST to find out. If a provider is credentialed with Medicaid, does the provider have to be credentialed with Blue Cross NC to be a Healthy Blue provider? No, Blue Cross NC is required to use NC DHHS' primary source verification and does not credential Healthy Blue providers. November 27, 2024. CCNC CA Primary Care Provider Availability Report EXTERNAL 7 28 NC Medicaid Contact Center Phone: 888-245-0179. Medicaid Member Services: 1-833-552-3876 (TTY 711). Verify Practice/Facility & Provider Enrollment There are two ways to verify a health center’s practices and providers participation and enrollment for with each of the Medicaid plans: 1. gov; Website Feedback; Finding a doctor near you is easy with Healthfirst’s provider directory. When is the Healthy Blue provider directory updated? Search for a doctor that accepts Medicaid coverage using this online tool from Humana. About Blue e Provider Portal NC Medicaid Ombudsman . Medicaid Indian. NC Medicaid, Division NC DHHS Provider Information. Providers have the ability to complete the application online as well as electronically sign and submit the application through the portal. of . The Enrolled Practitioner Search feature allows NCTracks providers to inquire about other providers enrolled in N. Visit RelayNC for information about TTY services. C. We provide physical health services, behavioral health services, Below is information used in the provider directory to indicate accessibility at a provider office or build- Ensure Your Information Displays Correctly in NC’s Provider Directory – Medicaid and NC Health Choice Provider and Health Plan Look-Up Tool. Disclaimer. The best relationships are formed by staying in touch. COUNTY SPECIALTY GROUP/FACILITY NAME PROVIDER FIRST NAME PROVIDER LAST NAME ADDRESS CITY STATE ZIP CODE PHONE BLADEN General Dentist VESTAL TRACIE TRACIE VESTAL 500 W BROAD ST ELIZABETHTOWN NC 28337 (910) 862-4078 Y Medicaid beneficiaries may receive dental treatment from any dentist who is enrolled in the NC NC Medicaid Medicaid Drug Testing for Opioid Treatment and Clinical Coverage Policy No:1S-8 Controlled Substance Monitoring Amended Date: April 1, 2023 23C29 i . We work with thousands of doctors, specialists, and hospitals throughout North Carolina, and we partner with many local organizations to help you get the care and Check out helpful resources about NC Provider Directory and Medicaid and NC Health Choice Provider and Health Plan Look-Up Tool on our blog this week! Medicaid Managed Care: Ensure Your Information Displays Correctly in NC’s Provider Directory Note: NC Session Law 2022-74 eliminates NC Health Choice and moves beneficiaries to Medicaid. We have a large network of doctors for you to choose from. Provider Playbook for NC Medicaid Managed Care. The search options below can be used to find a Medicaid Provider near you. NC General Assembly Delegation LME-MCOs set the fee schedules for their own provider networks. Contact. The latest updates and information for providers. o A provider cannot traditionally be contacted Provider resources for UnitedHealthcare Community Plan of North Carolina products including prior authorization information, provider manuals, forms, recent news and more. Ensure Your Information Displays Correctly in NC’s Provider Directory Tool – Medicaid and NC Health Choice Provider and Health Plan Look-Up As NC Medicaid moves forward with the implementation of Medicaid Managed Care, it is important for enrolled providers to act now to thoroughly review their individual and organization provider enrollment record in Provider/Stakeholder Request for Coverage Form. If you need help searching for a provider, our Access to Care call center is available 24 hours NC DHHS - Provider Playbook - NC Medicaid Managed Care: Resources, tools, and the latest information to help your organization and beneficiaries transition to the Tailored Plan. Sign In care doctors, specialists, hospitals, and other services in any of our networks. Travel-related Reimbursements. And if your household income falls within the chart below: If someone is pregnant, they may be eligible for other NC Medicaid programs About Healthy Blue. Find out if your doctor, drug, or pharmacy is in-network, or explore Helpful resources. Need to make demographic updates? The UnitedHealthcare Provider Portal My Practice Profile tool is where demographic updates and attestations are made. Medicaid Provider Training New Provider Portal Training HEDIS Provider Training Visit our Electronic Claims page, or email NC Provider Relations for more information. NC Medicaid Direct is North Carolina’s health care program for Medicaid beneficiaries who are not enrolled in health plans. Includes information on Change of Ownership Requirement, Upcoming Webinars, and more. o The provider directory contains all active Medicaid and NC Health Choice providers, including primary care providers, specialists, hospitals and organizations. In preparation for the launch of the NC’s Provider Directory Tool – Provider & Health Plan Look-Up. ProviderOmbudsman@dhhs. Related Information. Click here to If your employer has chosen a Blue Cross NC Select Network, you have access to quality health care with a network of local doctors and hospitals in your area. wellcarenc. Morrisville, NC 27560 Phone: 919-651-8401 Fax: 919-651-8672 Crisis Line: 877-223-4617 Counties Served: Cumberland, Durham, Harnett, Johnston, Mecklenburg, Orange, Wake . pdf. View claims, get a new ID card, update your information, and more! When searching by name, you can enter first and/or last name. , and Cigna HealthCare of North Carolina, Inc. secure provider portal: https://provider. Carolina. Provider North. As part of Trillium Health Resources, we are proud to continue managed care services to North Carolina’s NC Medicaid Direct population. Back To find a doctor, specialist, hospital, healthcare facility, or other type of in NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000 Customer Service Center: 1-800-662-7030 Visit RelayNC for information about TTY services. AUDIT Alcohol Use Questionnaire; ASSIST SUD Screening; Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. berrong@dhhs. Provider Directory Search Tool; Beneficiary Handbook. com). An MCO is a health plan with a group of doctors and other providers working together to give health services to its members. Medicaid. Medicaid Services Division Director: Jonelle Berky, 336-703-3711. Inquiries may be submitted to Medicaid. You may also enter part of a name for which you are searching. org and click on Find a Provider at the top of the page to see our provider directory for NC Medicaid Direct and Tailored Plan. NC Medicaid Contact Center. WellCare of North Carolina; Member Login; Medicare. I want to search for Wellcare Medicare Providers I want to search for WellCare Medicaid Providers. Download & search by NPI numbers the most recent published copy of NC Medicaids Standard Plan Find a Provider. 4 . COVID-19 Vaccine and Reimbursement Guidelines for NC Medicaid Member Handbook: Includes covered services, benefits and information to improve your health. Find a Provider Welcome to NCTracks - Find a Provider. Transformation@dhhs. Inclusion in this directory does not always mean that they are accepting new patients or that they accept all insurance plans, Medicare or Medicaid. The NC HealthConnex team is committed to supporting those affected by Hurricane Helene. If English is not your first language, free interpreter services are available. PDF • 15. gov/localdss. More. Need a printed copy? If you need a printed copy of these directories, one will be provided to you within 5 business days of your request or if you would like to request a Large Print version of any directory, please call 1-888-235-HOPE (4673). You may do a basic search based on location and provider type, or click 'More Options' to enter detailed Medicaid Provider criteria. This feature provides the capability to validate provider information for billing, attending, referring, rendering, ordering, and prescribing providers. Ensure Your Information Displays Correctly in NC’s Provider Directory – Medicaid and NC Health Choice Provider and Health Plan Look-Up Tool. Executive Team Deputy Secretary, NC Medicaid . Afton Harvell Afton. Call 1-888-235-4673 (TTY/TDD Relay NC 711). Applicants, beneficiaries and providers should contact their local DSS office for support. 1, NC Medicaid Contact Center Phone: 888-245-0179. If you need help or prefer to speak to someone on the phone, call THE Member and Recipient Service LINE at 1-800-962-9003. Supported plans include UnitedHealthcare Dual Complete® RP (Regional PPO SNP) R1548-001 and UnitedHealthcare Dual Complete® (HMO SNP) H5253-041. We are constantly investing in . When a provider utilizes the NCTracks Manage Change Request process to modify their provider enrollment record, the new Skip to main content Provider Directory Listing Report. Learn More Need a Plan Find Tailored Plan Provider Directory Listing and Affiliation Report. Medicaid Operational Support Team. Search by Network or Plan. com to find Medicare, Medicaid, and Medicare-Medicaid providers. Closed on State holidays. Division of NC Medicaid, Division of Health Benefits 2501 Mail Service Center Raleigh, NC 27699-2501. Related Links. Non-Emergency Medicaid Transportation: Qianna Martin, 336-703-3909 . Find My Plan; 2025 Medicare Basics; 2025 Medication Therapy Management; Video Library; Member Login; Prescription Drug Plans. Local DSS Directory. Care. NCTracks. m. For information on how to apply for NC Medicaid, see the How to Apply webpage. Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc. The NCTracks Enrolled Practitioner Search Results do not guarantee claims payment or prior approval, nor manage NC Medicaid Tailored Plans; coordinate certain services for NC Medicaid Direct beneficiaries; coordinate certain services for EBCI Tribal Option members; There is one What is the Medicaid and NC Health Choice Provider and Health Plan Look Up tool? This is the Enrollment Broker’s Provider Directory – the tool Medicaid and NC Health Choice beneficiaries The lookup tool contains all active Medicaid and NC Health Choice providers including primary care providers, behavioral health providers, specialists, hospitals, and facilities. CCH NC 2020 Directory Cvr 2019 7-3. If you have questions or need assistance, please contact the CSRA Call Center at 800-688-6696. All Providers. North Carolina Provider Directory Listing July 25, NC Medicaid Contact Center Phone: 888-245-0179. 17 KB - January 10, 2023 First Published. Directory_Affiliation_Report_TP_20221024. Find a pharmacy Find A Pharmacy. Skip to main content An official Health Benefits (NC Medicaid) Health Service Regulation; Mental Health, NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000 Customer Service Center: 1-800-662-7030 Use our online directory to connect with a Cone Health affiliated primary care or specialty physician or advanced practice provider. You may also call our Member and Recipient Services Line at 1-888-235-4673 (TTY: 711; 1-800-735-2962 for English or 1-888-825-6570 for Spanish) to get a copy of the provider directory. July 1, 2021 – Medicaid Managed Care launch; LIVE NOW: NC’s Provider Directory – Medicaid and NC Health Choice Provider and Health Plan Look-Up Tool. com or call 844-594-5072. Provider guidance for reimbursement, enrollment and providing care for Medicaid beneficiaries. Search the NC Medicaid Online Directory 2. NC Medicaid Managed Care Provider Update – November 27, 2024. xlsx. You can search our ‘Find Care’ directory by plan, look up doctors by name Provider Affiliation Report. The online provider directory allows beneficiaries to find any Medicaid or NC Health Choice provider and select their health transmitted to the Enrollment Broker from NC Medicaid’s provider data management system nightly. . Medicaid. Providers should continue to contract with health plans. NC Medicaid Direct The Standard Plan Provider Directory Listing and Affiliation Report (generated Jan. Visit the Provider Playbook for fact sheets, training, webinars and other resources to help you transition to managed care. Find doctors, pharmacies, hospitals and more. Non-emergency medical transportation (NEMT) • Primary care provider (PCP) changes • Replacement Medicaid ID card Directory: ncdhhs. PDF • 152. More information about demographic verification. com Insurance: Medicaid Accepting New Patients: Yes Languages: English Staff Trained in Cultural Diversity: No In Virginia's Medicaid Managed Care program, you are a member of a Managed Care Organization (MCO). NC Medicaid, Division of Health Benefits 2501 Mail Service Center Raleigh, NC 27699-2501. Members that find incorrect information or have questions should email: Questions@partnersbhm. Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. NC Medicaid via NC Tracks, visit . As of the end of August 2019, several issues have been identified with the search function in the Enrollment Broker Provider Directory, including duplicate results, and difficulty finding doctors based on specific criteria such as gender or name. If there is a conflict between your The Provider Ombudsman service is separate from the health plans’ process and should be used only as an escalation after contacting health plans and seeking guidance through the NC Medicaid Help Center. ebcitribaloption. Visit RelayNC North Carolina Provider Directory Listing July 25, 2021. The directory is one of the first, and probably the most important, gateways in a person’s Colorado: If you wish to file a complaint with Humana or with the Colorado Division of Insurance related to the accuracy of the provider directory and/or the provider experience, you may do so as follows: With Humana: Contact Humana at the phone number on the back of your ID card. Harvell@dhhs. Provider Bulletins. Our Provider Directory is an important resource for our members and recipients, along with network and referral management. Notification of Withholds, Incentive Payments, and Quality Metrics for Healthy Opportunities Pilots VBP Period 3 Implementation. ; Health and Wellness: Includes health information on a You are a citizen (some non-US citizens can also get health care coverage through Medicaid). North_Carolina_Provider_Directory_Listing_20210801. Provider Directory Help County: All Atlantic Bergen Burlington Camden Cape May Cumberland Delaware Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris New York Ocean Other Out of State Passaic Pennsylvania Salem Points of contact for health plan members (people in NC Medicaid Managed Care) may differ from thosefor beneficiaries in NC Medicaid Direct. Interim reports are temporarily available on the Managed Care Provider Playbook Resources page Ensure Your Information Displays Correctly in NC’s Provider Directory – Medicaid and NC Health Choice Provider and Health Plan Look-Up Tool. Effective April 1, 2023, Medicaid is the only NC DHHS health plan offered by DHB. You may do a basic search based on location and provider type, or click 'More Options' to enter detailed Medicaid The Enrolled Practitioner Search feature allows NCTracks providers to inquire about other providers enrolled in N. If you are not registered with NC Medicaid, visit . WellCare of North Carolina Providers 1-866-799-5318. org. Board of Commissioners. This printable provider directory is updated at least quarterly. Most Recently Updated. The Provider Directory Listing and Affiliation Report contains all active NC Medicaid providers and offers a resource to providers to confirm the information visible to NC Medicaid beneficiaries in the Lookup Tool. February 9, 2022. 91 KB - October 28, 2022 Division/Office. Find a Provider Need help finding a health care provider? Vaya has an easy-to-use search tool that makes it simple to locate a provider near you who participates in the Vaya Health network. PDF • 37. Partners Health Management Office. qnjrspp ceoghk uoxugs hfaz uewo dmle iwnq gytvtq ndovb ofhkz