If your child is currently covered by Medicaid or NC Healthchoice, please read this information.

In June 2019, many existing Medicaid and NC Healthchoice patients began receiving notices in the mail regarding upcoming changes to North Carolina’s Medicaid and NCHC programs.  North Carolina is moving to “Medicaid Managed Care.”  This means instead of the State managing your healthcare plan, you will select one of five private insurance companies, called “Prepaid Health Plans or PHPs,” that the State has contracted with to managed your healthcare plan.  As a Medicaid or NC Healthchoice covered patient, you will have to take steps to sign up for one of the offered plans and select your primary care physician by contacting the enrollment broker, Maximus, by letter, phone, fax, app, or online. (See contact information below).  If you do not make your selections by early September, Maximus will auto assign you to a plan and physician, which may or may not be your preferred provider.  These new plans for the Alamance county region are scheduled to be effective on November 1, 2019.

At this time, Burlington and Mebane Pediatrics will be participating with two of the five Medicaid Managed Care plans.  We will be participating with WellCare of North Carolina and United Healthcare Community Plan.  We do not have plans to contract with the other carriers at this time.

Important Update:

It has come to our attention that Maximus, the enrollment broker/company that the State has contracted with to help patients enroll in their new insurance plan and select their primary care physician (PCP), is currently having difficulties with their website (www.ncmedicaidplans.gov).  If you search for Burlington or Mebane Pediatrics, our offices and providers are currently not showing as active on the WellCare of North Carolina or United Healthcare Community Plan.  We are working with representatives at Maximus and the State to get this resolved and will post updates.  Please note that patients have until early September to make their plan and PCP selections, so patients will have time to make their selections once these technical difficulties are resolved.

To choose your new Medicaid Managed Care healthplan and Primary Care Physician, click this link:

https://www.ncmedicaidplans.gov/choose

A small number of Medicaid patients are initially excluded from phase 1 of Medicaid Transformation, to learn more click this link:

https://www.ncmedicaidplans.gov/learn/who-must-choose-health-plan

To learn more about Medicaid Transformation and what it means, click this link:

Medicaid-Factsheets-BENEFICIARIES-8.9.18

 

Medicaid & NC Healthchoice Patients- Important information you need to know about your insurance changes!