NC Medicaid

NC Medicaid Transformation

In 2021, North Carolina transitioned to the "managed care" model for most Medicaid recipients. Instead of receiving Medicaid benefits from the NC Department of Health and Human Services (NC DHHS), most Medicaid recipients are now members of a Prepaid Health Plan (PHP). There are five PHPs available to Medicaid recipients in the Triangle region:

• WellCare
• Healthy Blue
• AmeriHealth Caritas
• Carolina Complete Health
• UnitedHealthcare Community Plan

Members of all five PHPs are eligible for care management services offered by DukeWELL.

For more information, visit the Get Answers page of the NC Medicaid website or watch the video below:

Enroll in NC Medicaid

There are three ways to enroll:

• Visit NCMedicaidPlans.gov
• Use the NC Medicaid Managed Care mobile app, available for either Android or Apple devices
• Call the multilingual call center at 1-833-870-5500 (TTY: 1-833-870-5588)