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This document outlines the Medicaid services available in North Carolina, detailing coverage for various special groups and the types of medical services provided under the state plan.
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How to fill out medicaid state plan for

How to fill out Medicaid State Plan for North Carolina
01
Visit the North Carolina Medicaid website or the relevant state department page.
02
Download the Medicaid State Plan template provided by the state.
03
Gather necessary documentation, including proof of income, household composition, and any medical expenses.
04
Fill out each section of the plan carefully, ensuring that all required information is included.
05
Double-check that all forms are signed and dated where necessary.
06
Submit the completed Medicaid State Plan to the designated state office either via mail or electronically, as per instructions.
07
Follow up if you do not receive confirmation of receipt within a reasonable time.
Who needs Medicaid State Plan for North Carolina?
01
Individuals and families who qualify based on income and need assistance with healthcare costs.
02
People with disabilities who require long-term care services.
03
Low-income adults who meet specific criteria set by the state.
04
Children from low-income families who require medical coverage.
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People Also Ask about
What is NC Medicaid called now?
North Carolina's Transformation to NC Medicaid Managed Care On July 1, 2021, most Medicaid beneficiaries began receiving the same Medicaid services under NC Medicaid Managed Care. With managed care, beneficiaries choose a health plan and get care through the health plan's network of doctors.
What is North Carolina's Medicaid program called?
Medicaid Managed Care: The largest NC Medicaid program. People join one of several available standard health plans, officially known as prepaid health plans, or PHPs. Four PHPs are available in all the N.C. counties (with one additional plan also available in a few of the southernmost counties that Access East serves).
What is DHB in NC Medicaid?
DHB. Division of Health Benefits (new name for the Division of Medical Assistance or DMA). It is one of the Divisions of the N.C. Department of Health and Human Services served by NCTracks.
What are Medicaid state plan services?
A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities.
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.
What are the North Carolina Medicaid plans?
NC Medicaid Managed Care Health Plans AmeriHealth Caritas North Carolina, Inc. – Prepaid Health Plan; Statewide. Healthy Blue of North Carolina – Prepaid Health Plan; Statewide. UnitedHealthcare of North Carolina, Inc. – Prepaid Health Plan; Statewide. WellCare of North Carolina, Inc. – Carolina Complete Health, Inc. –
What are the four types of Medicaid?
0:27 1:59 There are four types of Medicaid. Programs each designed to cover different groups of people let'sMoreThere are four types of Medicaid. Programs each designed to cover different groups of people let's dive into what each one offers. First up we have the traditional Medicaid this one's the original.
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What is Medicaid State Plan for North Carolina?
The Medicaid State Plan for North Carolina is a formal document that outlines how the state administers its Medicaid program, detailing the services offered, eligibility criteria, and the administrative policies that govern the program.
Who is required to file Medicaid State Plan for North Carolina?
The North Carolina Department of Health and Human Services is responsible for filing the Medicaid State Plan, which must be submitted to the federal government for approval.
How to fill out Medicaid State Plan for North Carolina?
Filling out the Medicaid State Plan involves gathering relevant information about state policies, services, eligibility, and costs, and then completing the required templates provided by the Centers for Medicare & Medicaid Services (CMS) to ensure compliance with federal guidelines.
What is the purpose of Medicaid State Plan for North Carolina?
The purpose of the Medicaid State Plan is to establish the framework for the Medicaid program in North Carolina, ensuring that the state meets federal requirements while providing necessary healthcare services to eligible individuals.
What information must be reported on Medicaid State Plan for North Carolina?
The Medicaid State Plan must report information including eligibility criteria, services covered, payment rates, and overview of the administration processes involved in the state's Medicaid program.
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