The NC Medicaid Ombudsman is someone you can call if you need help getting with your health care services. The NC Medicaid Ombudsman is a nonprofit agency whose only job is to ensure that members and families who receive NC Medicaid Managed Care get access to the care they need.
The NC Medicaid Ombudsman can:
- Answer your questions about benefits
- Help you understand your rights and responsibilities
- Give you information about Medicaid and Medicaid Managed Care
- Answer your questions about enrolling with or disenrolling from a health plan
- Help you understand a notice you have received
- Refer you to other agencies that may be able to help you with your health care needs
- Help to resolve issues you are having with your health care provider or health plan
- Be an advocate for members 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 or for more information, visit ncmedicaidombudsman.org.