Tailored Plans start July 1, 2024
Until then you will keep getting services the way you do now.
Have questions about NC Medicaid expansion, eligibility, or health plan? Check our Medicaid Expansion Q&A
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Tailored Plans start July 1, 2024
Some people will be automatically enrolled in a Tailored Plan. If you are enrolled in a Tailored Plan or can choose a Tailored Plan, you will get a letter in the mail in mid-April. Until July 1, 2024, you will keep getting services the way you do now.
A Tailored Plan is an NC Medicaid Managed Care health plan. It offers physical health, pharmacy, care management and behavioral health services. It is for members with a mental health disorder, substance use disorder, intellectual/developmental disability (I/DD) or traumatic brain injury (TBI).
To learn more, go to medicaid.ncdhhs.gov/tailored-plans or Tailored Plan services. Or call us toll free at 1-833-870-5500 (TTY: 711 or RelayNC.com).
North Carolina Expanded Medicaid Coverage
To learn more about NC Medicaid expansion, visit the NC Department of Health and Human Services Medicaid expansion website at https://medicaid.ncdhhs.gov/north-carolina-expands-medicaid.
Meetings and events
Learn more about NC Medicaid Managed Care. Join us at a community meeting or event.
Make sure your mailing address and contact information are correct
Update your address and other information for Medicaid with an enhanced ePASS account – without having to call or visit your local Department of Social Services (DSS).
Sign up today at epass.nc.gov.
You can also visit or call your local DSS to check your information or report changes. To find your local DSS, go to ncdhhs.gov/localdss.
Medicaid recertifications began April 1, 2023. You will get a letter from your local DSS if they need information to complete your recertification. Return the requested information to your local DSS to avoid a gap in your Medicaid coverage.
Schedule a ride to your medical appointment
Health plan members can schedule rides to medical appointments through Non-Emergency Medical Transportation (NEMT) services. Tailored Plan members can start scheduling rides on May 16, 2024 for appointments on or after July 1, 2024. Learn more about transportation services.
Look up providers and health plans
Use our tools to help you find and view primary care providers (PCPs) and health plans.
NC Medicaid Provider and Health Plan Lookup Tool
You can use the NC Medicaid Provider and Health Plan Lookup Tool to find a PCP. Our provider search will help you find the best PCP for you and your family.
To search for a provider, go to Find a provider.
Health Care Option Guide
You can use the Health Care Option Guide to view health plans. It will help you choose the best health plan to meet your health care needs.
To view health plans, go to View health plans.
Questions?
We can help. Call us to get answers to your questions about NC Medicaid Managed Care. The call is toll free.
Phone: 1-833-870-5500 (TTY: 711 or RelayNC.com)
Hours of operation: 7 a.m. to 7 p.m., Monday through Friday and 7 a.m. to 5 p.m. on Saturday
Or use the chat tool to chat with us online.
For answers to common questions, go to Get answers.
You can also contact the NC Medicaid Ombudsman if you have questions or problems your health plan or provider could not answer. Call 1-877-201-3750 or visit ncmedicaidombudsman.org.
Get the free mobile app
To get the app, search for NC Medicaid Managed Care on Google Play or the App Store.
Use the app to find and view primary care providers (PCPs) and health plans for you and your family. Learn more about the free mobile app at Get answers.