North Carolina Medicaid Plans
North Carolina Medicaid Plans operate under NC Medicaid Managed Care, overseen by the North Carolina Department of Health and Human Services (NCDHHS). The program includes Standard Plans for physical, behavioral, and long-term care, plus specialized **Children & Family Specialty Plans**, **Behavioral Health I/DD Tailored Plans**, and the **EBCI Tribal Option**. Over 2 million residents—children, parents, seniors, and people with disabilities—are enrolled in a plan. Managed care significantly expanded with the launch of Tailored Plans on July 1, 2024.
Statewide Health Plans
| Plan Name | Member Services | Coverage Type |
|---|---|---|
| Healthy Blue Care Together | 800‑638‑3302 | Children & Families Specialty |
| WellCare of NC | 855‑599‑3816 | Children & Families Specialty |
| Carolina Complete Health | 833‑552‑3876 | Children & Families Specialty |
| Alliance Health | 800‑510‑9132 | Behavioral Health I/DD |
| Partners Health Management | 877‑864‑1454 | Behavioral Health I/DD |
| Trillium Health Resources | 855‑250‑1539 | Behavioral Health I/DD |
| Vaya Health | 866‑990‑9712 | Behavioral Health I/DD |
| EBCI Tribal Option | 800‑260‑9992 | Tribal PCCM |
| Standard Plans (e.g., AmeriHealth Caritas NC, UHC) | See NCDHHS listing | Standard Physical & BH |
Enrollment & Eligibility
- Apply via NC Medicaid Managed Care site or call the NC Enrollment Broker: 833‑870‑5500 (TTY 833‑870‑5588)
- Eligibility based on income, age, disability, foster care, or tribal status.
- Specialized Tailored Plans launched July 1, 2024 for individuals requiring behavioral health or I/DD supports
Provider Resources
- NC Medicaid Health Plan Directory
- Provider Playbook & Tailored Plan Info
- Find & Compare NC Medicaid Plans
Common Questions
What are Tailored Plans?
Tailored Plans provide integrated behavioral health and I/DD services for eligible members since July 1, 2024 .
Can I change my health plan?
Yes, within 90 days of assignment or for qualifying life events. The Medicaid Ombudsman can assist
How do I choose my PCP?
Select a Primary Care Provider through your plan’s directory or the NCTracks portal. Providers must be in-network.
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