Does NC Medicaid require referrals for specialists?
Click the one called “Medicaid” for Medicaid providers and the one called “Health Choice” for NC Health Choice providers. You need a referral from your Primary Care Provider (PCP) to see a specialist. Only your PCP can refer you to another doctor.
How do I change my Medicaid provider in NC?
Beneficiaries who may want to change their PCP assignment should contact their Department of Social Services (DSS) caseworker who can reassign the beneficiary to the correct PCP. Beneficiaries can also call the Medicaid Contact Center at 888-245-0179 for assistance.
How long does it take to get approved for NC Medicaid?
For all other types of PA requests, Medicaid will make every effort possible to make a decision within 15 business days of receipt of the request unless there is a more stringent requirement. However, there may be a delay in making a decision if Medicaid needs to obtain additional information about the request.
Does NC Medicaid cover prescriptions?
The North Carolina Medicaid Pharmacy Program offers a comprehensive prescription drug benefit, ensuring that low-income North Carolinians have access to the medicine they need.
How do I check my Medicaid status NC?
Follow these steps when an NC Medicaid or NC Health Choice member presents at your office: Verify eligibility, health plan and primary care provider enrollment using the NCTracks Recipient Eligibility Verification/Response or calling the NCTracks Call Center for more information: 800-688-6696.
Does NC Medicaid pay for glasses?
Does NC Medicaid cover eye exams and glasses for adults? Starting January 1st of 2019, NC Medicaid covers eye exams and glasses for adults. If you’re 21 years of age or older, and have NC Medicaid, you can also be seen by Medicaid eye care providers for medical eye exams.
How do I find doctors in Hickory who take Medicaid insurance?
Use Zocdoc to find doctors in Hickory who take Medicaid insurance. It’s simple, secure and free. Zocdoc verifies all providers before they can appear in Zocdoc search results. Every provider that appears in search is open to new patients. Zocdoc only allows patients to write reviews if we can verify they have seen the provider.
How to apply for NCNC Medicaid Managed Care – exempt?
NC Medicaid Managed Care – Exempt. 1 Choose a health plan that your provider works with. If you have questions about the instructions in the letter you received , 1.1 Call 1-833-870-5500 (toll free), 1.2 Or go online at ncmedicaidplans.gov. 1.3 You can ask your provider which health plans they work with,
What are the different types of Medicaid beneficiaries in North Carolina?
As a Medicaid or NC Health Choice beneficiary, you fall into one of three categories: . Most beneficiaries receiving Medicaid or NC Health Choice will be required to transition to NC Medicaid Managed Care. This means you must choose a health plan and a Primary Care Provider (PCP).
Do I have a choice to stay in NC Medicaid direct?
Some beneficiaries can choose to stay in NC Medicaid Direct. This means you are not required to choose a health plan and a PCP. NCDHHS – Division of Health Benefits will send you a letter that tells you if you have the choice to enroll. You have the option to choose a health plan if you: