Request to Move to NC Medicaid Direct

The Request to Move to NC Medicaid Direct or LME/MCO: Provider Form can be submitted online at ncmedicaidplans.gov/submit-forms-online or by calling the Enrollment Broker at 833-870-5500 to request a downloadable version that can be mailed or faxed.

Can I stay in NC Medicaid direct?

Most NC Medicaid beneficiaries have been enrolled in the NC Medicaid Managed Care program. Some people will stay in NC Medicaid Direct (formerly known as fee-for-service). They will not need to choose a health plan.

What is North Carolina Medicaid direct?

What is NC Medicaid Direct? NC Medicaid Direct is North Carolina's health care program for Medicaid beneficiaries who are not enrolled in health plans. It includes care management by Community Care of North Carolina (CCNC), the primary care case management entity (PCCMe) for physical health services.

How do I switch from SC Medicaid to NC Medicaid?

The Request to Move to NC Medicaid Direct (Fee for Service) or LME-MCO: Provider form can be submitted digitally at https://ncmedicaidplans.gov/submit-forms-online or by calling the Enrollment Broker at 833-870-5500 to request a downloadable form version that can be mailed or faxed.

How do I know if I have NC Medicaid direct?

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.