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.
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.
Closed Networks for ABA and PSS Providers
In accordance with N.C.G.S. § 108D-22, as amended by Session Law 2026-41, Carolina Complete Health (CCH) is implementing North Carolina Medicaid requirements related to closed provider networks for Research-Based Behavioral Health Treatment (RB-BHT/ABA) and Peer Support Services (PSS).
What you need to know
At this time, no action is required for currently contracted RB-BHT/ABA and PSS providers unless Carolina Complete Health contacts you directly.
Currently participating providers
If you are currently contracted for RB-BHT/ABA or PSS services, continue providing services in accordance with your existing contractual, clinical, and regulatory requirements.
Providers seeking participation or with a pending request
Requests for participation will be evaluated based on applicable Medicaid requirements, member access needs, and network capacity. Submission of a participation request does not guarantee network participation.
Peer Support Service providers
PSS providers must continue to meet all applicable program requirements, including required Memoranda of Understanding (MOU) or Memoranda of Agreement (MOA), as applicable. Carolina Complete Health will communicate directly with providers regarding any documentation or remediation requirements.
Continuity of Care
Carolina Complete Health will continue to monitor provider availability and network adequacy to ensure members have access to medically necessary services.
Questions may be directed to Provider Services at (833) 552-3876 or Provider Relations at NetworkRelations@cch-network.com
Thank you for your continued partnership.
Carolina Complete Health
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).