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NC Medicaid 2021 Provider PlaybookManaged Care Claims and Prior Authorizations Submission: Frequently Asked Questions Part 2 QuestionWellCare (CHP) Response to file a claim with the PHP what are the
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How to fill out nc medicaid managed care

01
To fill out the NC Medicaid Managed Care application, follow these steps:
02
Visit the NC Medicaid website or contact the Department of Health and Human Services for a copy of the application form.
03
Provide personal information such as your name, address, contact details, and Social Security number.
04
Indicate your preferred managed care plan and select any additional services you may require.
05
Provide information about your household income, assets, and current health insurance coverage.
06
Include information about any medical conditions or disabilities you may have.
07
If applicable, provide details about any dependents who need Medicaid coverage.
08
Sign and date the application form.
09
Submit the completed application either online, by mail, or in person at your local Department of Social Services office.
10
Keep a copy of your application for your records and follow up to ensure it has been received and processed.

Who needs nc medicaid managed care?

01
NC Medicaid Managed Care is primarily for individuals and families who meet certain eligibility criteria, including:
02
- Low-income individuals and families who cannot afford private health insurance
03
- Pregnant women
04
- Children and youth under the age of 21
05
- Individuals with disabilities or chronic health conditions
06
- Older adults
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- Individuals in need of long-term care services
08
It is important to check the specific eligibility requirements of NC Medicaid Managed Care to determine if you qualify for the program.
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The NC Medicaid Managed Care program is a new system of delivering and paying for Medicaid services in North Carolina. It involves private health plans that are contracted by the state to provide Medicaid benefits to enrollees.
Health care providers, including doctors, hospitals, and clinics, that are participating in the NC Medicaid program are required to file under the managed care system.
Providers can fill out the NC Medicaid Managed Care applications online or through paper forms provided by the state. They are required to provide detailed information about their practice, services, and patient population.
The purpose of NC Medicaid Managed Care is to improve health outcomes, enhance quality of care, and control Medicaid costs by shifting from a fee-for-service model to a managed care model.
Providers must report information such as patient demographics, services provided, claims submitted, and outcomes achieved under the managed care system.
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