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Attention Providers Affected by Hurricane Helene: If your organization is facing challenges due to Hurricane Helene and need assistance with medical, personal care, or specialized supplies, we are here to support you.  Please reach out to Carolina Complete Health as we are coordinating relief efforts for providers in the affected areas of Western North Carolina.  Click Here for More Information.

About Us

 

Carolina Complete Health Network is a subsidary of the North Carolina Medical Society and co-owned by the North Carolina Community Health Center Association. Through a joint venture with Centene Corporation, we established the first and only Provider-Led Entity (PLE) in North Carolina; Carolina Complete Health (CCH). CCH is a Medicaid health plan and together as the PLE we seek out physician and clinician expertise in medical policy and aim to give providers a voice in how to best to care for their patients while reducing administrative burden. View more information about the Provider-Led Entity (PDF).

As the only Provider-led Entity, Carolina Complete Health Network empowers providers to lead the way to better health for our enrollees. 

Join our
Provider Network

Join the only PLE and make a difference in patient care through this new approach to Medicaid Managed Care services.

Join the Network

Participate in
Provider Workgroups

We aim to represent providers; amplify your voices as customers of the plan and key stakeholders in the Medicaid Managed Care.

Provider Workgroups

Learn about
Provider-Led Innovation

We strive to elevate and support the amazing innovation happening within practices, health centers and other providers across the state.

Provider-Led Innovation

Our Partners

Carolina Complete Health is a joint venture of the Centene Corporation and Carolina Complete Health Network. Carolina Complete Health Network was formed as a subsidiary of the NC Medical Society in partnership with the NC Community Health Center Association. 

  • Centene insures over 23 million members across the U.S. with the mission to transform the health of the communities it serves, one member at a time.  
  • The NC Medical Society is the oldest professional member organization in North Carolina, representing physicians and physician assistants who practice in the state, providing leadership in medicine by uniting, serving and representing physicians and their health care teams to enhance the health of North Carolinians. 
  • The NC Community Health Center Association is a private, non-profit membership association that represents federally-qualified health centers and aspiring health centers across North Carolina.

PLE Medicaid Coverage Area

Carolina Complete Health began operation in July 2021 and serves Medicaid Transformation Regions 3, 4 and 5, which comprises 41 counties in North Carolina.

 

North Carolina Medicaid Tailored Plans

Carolina Complete Health is currently contracting providers for physical health for two Tailored Plans – Partners Behavioral Health Management and Trillium Health Resources. Tailored Plans Provider Guide (PDF)


Health Insurance Marketplace Plan

Ambetter of North Carolina Inc. is our Health Insurance Marketplace product. Ambetter of North Carolina Inc. will be available in 62 counties as of January 1, 2024.

 

Page Last Updated: 05/21/2024