Table of Contents
What is the age limit for NC Health Choice?
NC Health Choice is a free or reduced cost health insurance program for uninsured children birth through age 18.
What is NC CHIP program?
Medicaid and the Children’s Health Insurance Program (CHIP) provide no-cost or low-cost health coverage for eligible children in North Carolina. These programs provide health coverage for children so that they can get routine check-ups, immunizations and dental care to keep them healthy.
How long can a child stay on Medicaid in NC?
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.
Can adults get Medicaid in NC?
Must be age 6 through 18, ineligible for Medicaid, Medicare, or other federal government-sponsored health insurance, be uninsured, a NC resident.
Does NC Health Choice cover therapy?
Children of families with income above 100 to 200 percent of the federal poverty level can enjoy a full package of health care benefits from NC Health Choice. This covers hospitalization and outpatient care for services, including counseling.
Does Medicaid cover mental health in NC?
Behavioral Health services for Medicaid enrollees with mental illness, developmental or other intellectual disability, and substance use diagnoses are provided under the North Carolina 1915(b)(c) Medicaid Waiver program.
Do My Children qualify for NC Health Choice?
If you do not qualify for Medicaid, but cannot to afford private or employer-sponsored health insurance, your children may qualify for NC Health Choice.
How do I enroll in NCNC Medicaid?
NC Medicaid offers providers a secure and convenient method to complete and submit enrollment applications through the NCTracks Provider Portal. Providers have the ability to complete the application online and to electronically sign and submit the application through the portal.
Does NCTracks charge a fee for Medicaid?
Effective Jan 9, 2022, NCTracks will no longer require Medicaid and NC Health Choice providers to pay the $100 NC application fee with enrollment and reverification applications. This change is made pursuant to NC Senate Bill 105 Session Law 2021-180 Section 9D.9 (a) , which waives the fee until June 30, 2023.
Where can I find guidance on transitioning to NC Medicaid Managed Care?
For guidance on navigating this transition, including how to submit a Prior Authorization for members served under NC Medicaid Managed Care, please visit the NC DHHS provider resource page. Note: Topics to the right do not apply to NC Health Choice for Children.