Medicaid Managed Care

 

Guide for Piedmont Health patients with North Carolina Medicaid

 

What you need to know about North Carolina’s Medicaid Managed Care

Medicaid Managed Care is Coming Soon
Medicaid Managed Care will begin February 1, 2020. Enrollment choices may be made until December 13, 2019.

The NC Department of Health and Human Services (NC DHHS) has contracted with MAXIMUS to serve as North Carolina’s independent Enrollment Broker.  Enrollment starts soon!  Be on the lookout for communication from MAXIMUS and NC DHHS on how to enroll.

Make sure to update your current address with your local Department of Social Services (DSS).

Choosing a Plan
Current Medicaid beneficiaries will select a plan through NC’s independent Enrollment Broker, MAXIMUS. You will begin receiving information about how to select your Health Plan and Primary Care Provider soon. Make sure to select a Piedmont Health Services location, for example “Burlington Community Health Center.”

Learn More or Need Assistance
For more information check NC Medicaid at:
www.ncdhhs.gov/nc-medicaid-transformation

Also, Piedmont Health can help with your questions. You may call to schedule an appointment with one of our Outreach and Enrollment Counselors:
Burlington Community Health Center…………………………(336) 260-2720 Bilingual
Carrboro and Chapel Hill Community Health Center…..(919) 724-5227 Bilingual
Charles Drew Community Health Center…………………….(336) 260-2720
Moncure Community Health Center……………………………(919) 710-1554 Bilingual
Prospect Hill Community Health Center………………………(336) 639-0427 Bilingual
Scott Community Health Center………………………………….(336) 264-0427
Siler City Community Health Center…………………………….(919) 357-8216

Common Questions

What is Managed Care?
In Medicaid today, people enroll in a health care plan that is run by the state government.  In Medicaid Managed Care, people enroll in a health care plan that is run by a prepaid health plan or “PHP”.

What will be different for me in Medicaid Managed CAre?
Most things will stay the same.  The main difference is that you will get to choose a health care plan that best fits your personal situation.

When will Medicaid Managed Care start?
Many people will transition to Medicaid Managed Care beginning February, 2020.

Will my eligibility, services, or price of my services change?
Eligibility rules will remain the same.  Services that were covered under Medicaid will continue under Medicaid Managed Care.  You will still continue to be covered for the same services, treatment and supplies.  Cost sharing is not changing.

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