More Information on NC Medicaid Transformation

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On Oct. 24, 2018, the federal Centers for Medicare and Medicaid Services (CMS) approved North Carolina's 1115 Demonstration Waiver application submitted November 2017. The approval is effective Jan. 1, 2019 through Oct. 31, 2024. Through this waiver, North Carolina will offer coverage to Medicaid beneficiaries through four statewide Managed Care plans.  

Read more about the 1115 Demonstration Waiver from the North Carolina Department of Health and Human Services here.

View North Carolina's State Health Director and DHSS's Chief Medical Officer, Dr. Betsy Tilson's Powerpoint here.

View the DHHS Medicaid Managed Care Policy Papers with focus on specific subjects related to the NC Medicaid Managed Care design here.

View the Medicaid Managed Care Requests for Proposals here. 

Below is the list of applicants who have submitted a bid to the North Carolina Department of Health and Human Services.

Aetna AmeriHealth Caritas North Carolina 1
BCBSNC - Healthy Blue 1 Carolina Complete Health 2
My Health by Health Providers                  Optima Health
United Health Care 1 WellCare Health Plans 1


 1  Statewide PHP contracts were awarded, announced 2-4-2019
 2 A regional PHP contract was awarded for regions 3 and 5, announced 2-4-2019


NC Medicaid Managed Care Prepaid Health Plan Contract Award - Announced 2-4-2019