Medicaid Health Plans Are Changing. Partners is here to help. 1-888-235-4673.
Beginning on December 1, 2022, North Carolina’s Local Management Entities/Managed Care Organizations (LME/MCOs) will begin managing NC Medicaid Tailored Plans. Most people with Intellectual/Developmental Disabilities (I/DD), complex mental health needs and/or substance use disorders (SUD) will automatically transition to a Tailored Plan. The Tailored Plans will offer physical health and pharmacy services, in addition to behavioral health, IDD and TBI services.
Important to know:
- NC Medicaid sent out letters last week. Check your mailbox for that letter and call us at 1-888-235-4673 or 704-884-2729 if you have questions or concerns.
- If you do not know if you will transition to a Tailored Plan, contact the Enrollment Broker at Home | NC Medicaid Managed Care (ncmedicaidplans.gov) or 1-833-870-5500 TTY: 711 or RelayNC.com.
- Like membership with the LME/MCOs, Tailored Plan membership is based on the county you live in.
- Members will choose their primary care provider (PCP) and their Tailored Care Manager (TCM).
- Members should call the Tailored Plan to make PCP and TCM choices. If you do not choose a PCP or TCM, NC Medicaid will automatically assign you on October 15, 2022.
- Is there a provider you want to keep seeing? If so, call that provider today and urge them to enroll in the Tailored Plan. This is important because some medical providers do not understand that they must enroll if they want to participate in the Tailored Plan.
- Innovations members will only be in Tailored Plans.
- Individuals receiving State-funded services will be in Tailored Plans if currently receiving those services but will NOT have their medical needs managed by the Tailored Plan.
Questions and Contacts:
|Help navigating the process||PartnersACCESS (Member Services)||(888) 235-4673/
|Health plan choice||Enrollment Broker||Phone: 1-833-870-5500
(TTY: 711 or RelayNC.com)
|Primary Care Provider choice||Partners Member Services||1-888- 235-4673 or 704-884-2729|
|Tailored Care Management choice||Your assigned Care Manager or Partners Member Services if you do not have one||1-888-235-4673 or 704-884-2729|
You can also message us on our MemberCONNECT portal for assistance via our website www.partnersbhm.org.