In just a few months, an estimated 1.6 to 1.8 million Medicaid and NC Health Choice beneficiaries will transition to Medicaid Managed Care. Some beneficiaries will stay in fee-for-service known as NC Medicaid Direct.

With transformation happening, most people in NC Medicaid must choose a health plan in the NC Medicaid Managed Care program. You may be unsure if you need to choose a managed care health plan. To help answer this question, NC Medicaid has created this “Do I Need to Choose a Health Plan?” fact sheet.

For those that need a manage care health plan, open enrollment ends May 14, 2021. Beneficiaries who enroll with a health plan during open enrollment will have the opportunity to select a PCP from a list of contracted providers. If they do not choose a health plan before May 14, one will be assigned to them by NC Medicaid.

The launch of NC Medicaid Managed Care is July 1.

Click here for the NCDHHS website for more information