North Carolina continues to transition Medicaid from a fee-for-service delivery system to Managed Care. Tailored Plans are scheduled to launch in October 2023, delayed from April 1, 2023.
Carolina Complete Health is currently contracting providers for physical health for two Tailored Plans – Partners Health Management and Trillium Health Resources.
Sharing from NC DHHS:
The Provider Playbook is a collection of information and tools specifically designed to assist providers transitioning to NC Medicaid Managed Care. The latest resources are added to the fact sheet page.
If you do not have a contract for the Tailored Plan network, you will be considered ‘out-of-network’ and could be subject to reduced reimbursement rates for physical health services.
Our team of network professionals is available to assist you in meeting critical dates for contracting. Please utilize our Tailored Plan Contract Request Form.
To be considered 'in-network’ and eligible for the full reimbursement rate for physical health services for Standard Plan members, providers should also be contracted with CCH for Standard Plan. Please see our Join the Network page for more information.