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Information Regarding the Ombudsman Program

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The NC Medicaid Ombudsman is a resource you can contact if you need help with your health care needs. The NC Medicaid Ombudsman is an independently operated, nonprofit organization whose only job is to ensure that individuals and families under NC Medicaid get access to the care that they need. The NC Medicaid Ombudsman can:

  • Answer your questions about benefits
  • Help you understand your rights and responsibilities
  • Help you understand a notice you have received
  • Help you get answers to problems you have already tried to solve with your provider
  • Refer you to other agencies that may be able to assist you with your health care needs
  • Be an advocate for you if you are dealing with an issue or a complaint affecting access to health care
  • Provide information to help you with your appeal, grievance, mediation or fair hearing
  • Connect you to legal help if you need it to help resolve a problem with your health care

You can contact the NC Medicaid Ombudsman at 1-877-201-3750 from 8 a.m. to 5 p.m. Monday through Friday, or email to ncmedicaidombudsman.org.