Join the Network
North Carolina's Only Provider-Led Entity
Carolina Complete Health (CCH) is the only Provider-Led Entity (PLE) in North Carolina Medicaid Managed Care. CCH was established through a unique collaboration between the NC Medical Society, NC Community Health Center Association, and Centene. 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 limiting administrative burden.
This partnership exists because of the shared belief that providers like you should be closely involved in making decisions in the best interests of your patients. Carolina Complete Health Network will partner with Carolina Complete Health, the PLE, to deliver high-quality care for North Carolina communities, provided by doctors and clinicians who live and work within them.
Join us and make a difference in patient care through this new approach to Medicaid managed care services.
Learn about the North Carolina Medicaid Transformation initiative
Become a Provider
Thank you for your interest in becoming a Carolina Complete Health Network provider.
In addition to our Standard Plan contracting, Carolina Complete Health is also currently contracting providers for physical health services with two Tailored Plans – Partners Health Management and Trillium Health Resources. View our Tailored Plan Information Guide (PDF)
The Join the Network form should only be used to request contracts for Medicaid lines of business.
If you need to inquire whether a practitioner is linked to your group, notify us of any provider data discrepencies, or have other questions, reach out to your assigned Provider Network Support Specialist or email the team at: networkrelations@cch-network.com.
NOTE: Prior to contracting with Carolina Complete Health, providers must be credentialed with NC Medicaid. NCTracks is the “system of record” for provider enrollment data. View our Provider Guide: Provider Enrollment and Data (PDF) for more information.
We look forward to working with you to improve the health of the community.
Out of Network Provider Guidance
All OON provider services are subject to Prior Authorization (PA), with the exception of:
- Emergency Department
- Urgent Care Center
- Family Planning services billed with a Contraceptive Management diagnosis
- Local Health Departments services for sexually transmitted infections and/or tuberculosis
Out of Network (OON) providers require a Prior Authorization. PA requests will be reviewed for medical necessity. If the PA is approved, the OON provider may render the service and submit a claim with 180 calendar days from the date of service. For guidance, view our CCH Standard Plan Out of Network (OON) Provider Guide (PDF).