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NC Medicaid Ombudsman

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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.

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NCQA accredited MBHO Seal. The text reads: Accredited NCQA Manage Behavioral Healthcare Organization Full