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MID Preferred Language: Address: Street City Zip Telephone #: Cell # Email: Person to be Enrolled Date of Birth MID Name of primary care provider Provider ID or Exempt Code 1 2 3 4 5 If requesting a temporary exemption for anyone above, write the recipient s number and pr.

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NC Medicaid Managed Care Health Plans. Behavioral Health I/DD Tailored Plans. EBCI Tribal Option. Health Plan Contracts.

NC Medicaid Managed Care Health Plans. Behavioral Health I/DD Tailored Plans. EBCI Tribal Option. Health Plan Contracts.

NC Medicaid (Division of Health Benefits) is dedicated to providing access to physical and behavioral health care and services to improve the health and well-being of over 2.3 million North Carolinians.

A Standard Plan is an NC Medicaid health plan that offers integrated physical health, pharmacy, care coordination and basic behavioral health services. NC Medicaid Direct is North Carolina's health care program for Medicaid beneficiaries who are not enrolled in health plans.

The income limit for full Medicaid is $1,012 single person and $1372 for a couple. If income exceeds these, limits, the individual or couple must meet a medical deductible before he is eligible for full Medicaid. The deductible is the amount of income over the income limit.

North Carolina Medicaid includes Baby Love for prenatal and infant health care, Health Check for children up to age 21, Carolina ACCESS for managed care, and community alternatives to provide home and community care as a cost-effective alternative to institutionalization.

Who qualifies for NC Medicaid Direct? Children/youth in foster care. Children/youth who get adoption assistance. Children who get Community Alternatives Program for Children (CAP/C) services. Federally recognized tribal members or others who qualify for services through Indian Health Service (IHS) Former foster care youth.

A Standard Plan is an NC Medicaid health plan that offers integrated physical health, pharmacy, care coordination and basic behavioral health services. NC Medicaid Direct is North Carolina's health care program for Medicaid beneficiaries who are not enrolled in health plans.

Called "NC Medicaid Managed Care," beneficiaries choose a health plan and get care through a health plan's network of doctors. Some beneficiaries are remaining in traditional Medicaid, which is called NC Medicaid Direct.

For the Standard Plans, active NC Health Choice prior approvals will remain active and transition to NC Medicaid as of April 1, 2023. All other criteria within the prior approval will remain the same, but the health benefit will change to NC Medicaid.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232