Get the free NC Health Choice Enrollment Notification - ncdhhs

This document outlines the enrollment requirements for NC Health Choice providers regarding claims processing and provides instructions for filing claims and enrollment.

How to fill out nc health choice enrollment

How to fill out NC Health Choice Enrollment Notification

1. Obtain the NC Health Choice Enrollment Notification form from the appropriate source.
2. Fill out the child's personal information, including their name, date of birth, and Social Security number.
3. Provide the family's contact information, including address and phone number.
4. Indicate the type of health coverage being applied for under NC Health Choice.
5. Review the eligibility requirements and check the appropriate box if you believe the child meets those requirements.
6. If applicable, include any additional documentation or supporting information required by the form.
7. Sign and date the form, certifying that the information provided is accurate.
8. Submit the completed form by mail or online, following the submission instructions provided.

Who needs NC Health Choice Enrollment Notification?

1. Families with children aged 6 through 19 who do not have health insurance and meet the income eligibility criteria.
2. Guardians or relatives acting in the best interest of a child who may qualify for health coverage.
3. Individuals or organizations assisting families in enrolling children in health insurance programs.

People Also Ask about

What is the highest income to qualify for Medicaid in NC?

Under the expanded eligibility guidelines, Medicaid is available in North Carolina to a single adult with annual income up to about $20,782 in 2024 (this is 138% of the federal poverty level), and to adults in a family of three with a household income up to about $35,631/year.

Does NC Health Choice cover dental?

The North Carolina Health Choice (NCHC) is a health insurance program for children of families who make too much to qualify for Medicaid, but too little to afford private insurance. NCHC benefits include: Case management and care coordination services. Dental services.

What are the new Medicaid rules in NC?

On December 1, 2023, NC Medicaid expanded to cover people ages 19 through 64 up to 138% of the federal poverty line. That's about $1,800/month for singles and $3,065/month for families of three. NC Medicaid covers most health services.

What is the maximum income to qualify for health insurance subsidy?

Under the expanded eligibility guidelines, Medicaid is available in North Carolina to a single adult with annual income up to about $20,782 in 2024 (this is 138% of the federal poverty level), and to adults in a family of three with a household income up to about $35,631/year.

What is the income limit for NC Health Choice?

Who is eligible for N.C. Health Choice for Children? Family SizeAnnual IncomeMonthly Income 1 $22,980 $1,915 2 $31,020 $2,585 3 $39,060 $3,255 4 $47,100 $3,9255 more rows

What are the eligibility criteria for the NC Health Choice?

NC Health Choice is a free or reduced cost health insurance program for uninsured children birth through age 18. Who is it for? Children who have family incomes that are too high for Medicaid coverage, but equal to or less than 200% of the federal poverty guidelines.

For pdfFiller’s FAQs

What is NC Health Choice Enrollment Notification?

NC Health Choice Enrollment Notification is a form used to inform the North Carolina Medicaid program of a child's enrollment in the NC Health Choice program, which provides health insurance for uninsured children.

Who is required to file NC Health Choice Enrollment Notification?

Providers who enroll children in the NC Health Choice program, including healthcare providers and organizations, are required to file the NC Health Choice Enrollment Notification.

How to fill out NC Health Choice Enrollment Notification?

To fill out the NC Health Choice Enrollment Notification, providers must complete the required fields, including the child's personal information, the services authorized, and submit the form to the appropriate state office or online portal.

What is the purpose of NC Health Choice Enrollment Notification?

The purpose of the NC Health Choice Enrollment Notification is to ensure that the state is aware of the children enrolled in the program so that they can receive the necessary healthcare services covered under NC Health Choice.

What information must be reported on NC Health Choice Enrollment Notification?

Information that must be reported includes the child's name, date of birth, Medicaid identification number, the provider's name, the date of enrollment, and any other pertinent details that ensure proper coverage and care.