Internet Explorer is not fully supported by thiswebsite. If you want to report fraud or abuse, you can remain anonymous. An official website of the State of North Carolina, Occupations regulated by North Carolina require licensure, Health care facilities in North Carolina must be licensed, Review updated inspection reports, facility rating and penalties, Mental Health, Developmental Disabilities, and Substance Abuse, Office Of Minority Health And Health Disparities, Services for the Deaf and the Hard of Hearing. To learn more, call the NC Medicaid Ombudsman toll free at 1-877-201-3750, 8 a.m. to 5 p.m., Monday through Friday, except state holidays. The call is toll free. What is a Local Management Entity-Managed Care Organization (LME-MCO)? All of your letters will be online in your NC Medicaid Managed Care account. To learn more, go to the Tailored Plan websites listed below. A big part of what makes our program successful involves the variety of mental health programs we offer. Providers of services from the Division of Mental Health/Developmental Disabilities/Substance Abuse Services should contact their LME/MCO to obtain information regarding eligibility, claims status and payment, etc. We have a robust network of providers who offer treatment and support for mental health . You can view contact information for the health plans at. The practitioner's primary taxonomy code is 101YM0800X. was delayed due to the PHE are eligible to participate in the Voluntary Reverification Program. . Secure websites use HTTPS certificates. Zenith Behavioral Health in Phoenix, Arizona offers both a drug and alcohol detox center for adults and a residential mental health treatment center for adolescents. For those who qualify or who already have Medicaid, representatives can answer questions about how to help a teen get mental health care. WellCare provides behavioral health benefits to members enrolled in our Medicaid plan. 2001 Mail Service Center Our NC Medicaid mental health providers work with boys aged 13 to 17 who need help with a variety of . North Carolina, like all states, offers a Medicaid program for its residents. You can get an email, text message or both when you have a letter to view online. You can update your address and other information for Medicaid without having to call or visit your local DSS. Our NC Medicaid mental health providers know how to talk to teenagers on their level. If English is not your first language, free interpreter services are available. NC Department of Health and Human Services IF you want to change your Primary Care Provider only, call your health plan . Only one Tailored Plan serves each county in North Carolina. It includes care management by Community Care of North Carolina (CCNC), the primary care case management entity (PCCMe) for physical health services. ePASS is North Carolinas secure website where you can apply for benefits online. We are committed to quality service and partnership with providers to ensure members get the most of their benefits. Behavioral Health Crisis Line. Use these questions to help you choose the best health plan for you: To view your health plan choices, go toView health plans. Request to Move to NC Medicaid Direct (Fee for Service) or LME-MCO: Beneficiary Form, Request to move to NC Medicaid Direct (Fee for Service) orLME-MCO: Provider form. Each health plan has its own network of qualified doctors and health care professionals (provider network). If you have standing appointments, contact your health plan to ask if they will still be covered. Our multi-disciplinary approach to providing therapy helps young people come to an understanding of their mental health. IF you have a question about your benefits and coverage, please call your health plan at the number on your new Medicaid ID Card. Or use the chat tool to chat with us online. It also works with all Local Management Entity-Managed Care Organizations (LME-MCOs) for beneficiaries with a mental health disorder, substance use disorder, intellectual/developmental disability (I/DD) or traumatic brain injury (TBI). To request NC Medicaid Personal Care services please call 800-638-3302 and ask for a Personal Care services assessment or submit form NC LTSS-3051 forms found here and fax to # 855-541-8921. We care for them in our comfortable residential center and keep the family in the loop about their progress. Tailored Plans offer added services for members who qualify. CCNC provides care management services. Stay up to date with us. You can view contact information for the health plans atContacts and links. For this reason, we provide a full diagnosis when they arrive. For contact information, go to. Call the Corporate Compliance Line at 1-866-806-8777 or submit your comments at, Contact Health Information Management by emailing. IF you want to change your health plan, please call the Enrollment Broker at 833-870-5500 or visit ncmedicaidplans.gov. For a list oflocal DSS locations, go toncdhhs.gov/localdss. To find out, use this website or the free NC Medicaid Managed Care mobile app. To learn more, call us at1-833-870-5500(TTY: 711 or RelayNC.com). Our NC Medicaid mental health providers include professionals trained in several. All of your letters will be online in your NC Medicaid Managed Careaccount. Our therapists, doctors, and nurses understand how to communicate effectively with teenagers. We can help you choose or change your health plan and primary care provider (PCP) Call us to get answers to your questions about NC Medicaid Managed Care. We can speak with you in other languages. 2501 Mail Service Center Raleigh, NC 27699-2501 NC Medicaid Contact Center Phone: 888-245-0179. This helps them improve their relationships with themselves, as well as those with their family and friends. An official website of the State of North Carolina, Mental Health, Developmental Disabilities, and Substance Abuse, Office Of Minority Health And Health Disparities, Services for the Deaf and the Hard of Hearing. It is for members who may have mental health needs, severe substance use disorders, intellectual/developmental disabilities (I/DDs) or traumatic brain injuries (TBIs). Skip to main content An official . A surprise to many, is that NC Medicaid can be accepted at some out-of-state residential mental health providers such as Zenith Behavioral Health in Phoenix, Arizona. Deakle Family Counseling is a provider established in Winston Salem, North Carolina operating as a Counselor with a focus in mental health . Confidential Fraud and Abuse Line: 855-727-6721 Call your health plan. A PCCMe is a health care program that provides care management services for beneficiaries who qualify. Call 919-651-8500 Monday-Friday from 8:30 a.m.-5:15 p.m. You are encouraged to report matters involving Medicaid fraud and abuse. If you are experiencing a behavioral or mental health crisis, please call 1-833-207-4240 to connect to immediate help. If you have questions, you can call AmeriHealth Caritas North Carolina Provider Services at 1-888-738-0004. If you have questions about your eligibility, contact your local Department of Social Services (DSS) office. Our multi-disciplinary approach to providing therapy helps young people come to an understanding of their mental health. If you speak Spanish, language assistance services, free of charge, are available to you. What web browser works best on this website? State-funded services are mental health disorder, substance use disorder, intellectual/developmental disability (I/DD) and traumatic brain injury (TBI) services the state or federal government pays for outside of Medicaid. Call 877-398-4145, Monday-Friday, 7 a.m. to 6 p.m. Having trouble finding the answers you need? Visit RelayNCfor information about TTY services. To learn more, go to Benefits and services. After that, you can change your health plan: If you want to change your health plan outside of the 90 days, you can request tochange your health plan in one of the following ways: We will send you a letter telling you when you can choose a new health plan without a special reason. Gastonia NC 28054 Hours of Operation: 8 a.m.-5 p.m. Monday-Friday Elkin, NC A lock icon or https:// means youve safely connected to the official website. As NC Medicaid mental health providers, we offer focused help designed to treat teenage boys aged 13 to 17. Here are answers to questions you may have. For those who qualify or who already have Medicaid, representatives can answer questions about how to help a teen get mental health care. Your health plans provider network includes doctors, therapists, specialists, hospitals and other health care facilities. Or use the chat tool to chat with us online. State Government websites value user privacy. Others may have the option to choose a Tailored Plan. The NPI number of this provider is 1649979949 and was assigned on February 2023. If you have standing appointments, contact your health plan to ask if they will still be covered. They have experience serving NC Medicaid and NC Health Choice beneficiaries. Do all health plans offer the same services? Or use the chat tool to chat with us online. Some health plans also offer added services, such as programs to help you quit smoking, eat healthier and have a healthy pregnancy. Call, Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. You can view contact information atContacts and links. If you have a special or with cause reason, such as: You moved out of your health plans service area, You have a family member in a different health plan, You cannot get all the related services you need from providers in your health plan, and there is a risk to getting the services separately, A different health plan may be better for your complex medical conditions, Your Long-Term Services and Supports (LTSS) provider is not in your health plan, Your health plan does not cover a service you need for moral or religious reasons, Other reasons (poor quality of care, lack of access to covered services, lack of access to providers experienced in dealing with your health care needs), If you want to change your health plan outside of the 90 days, you can request tochange your health plan in. North Carolina will launch the NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan on Oct. 1, 2023. Or do you want a new one? . Copyright 2023 WellCare Health Plans, Inc. WellCare Non-Emergency Medical Transportation (NEMT) Update. With each of these types of therapy, young people learn to identify their emotions and thoughts and express them in a safe environment. The NCTracks system Addresses and directions to the Alliance offices. The EBCI Tribal Option is the primary care case management entity (PCCMe) created by the Cherokee Indian Hospital Authority (CIHA). Call yourlocal DSS if you cannot apply one of these ways. What is a primary care case management entity (PCCMe)? If you are enrolled in the Tailored Plan or have the option to choose the Tailored Plan, you will get a notice in the mail to tell you. You may need your Medicaid ID number when you call. You can change your health plan at any time for these reasons: You need services to address a mental health disorder, substance use disorder, intellectual/developmental disability (I/DD) or traumatic brain injury (TBI), You are a federally recognized tribal member or qualify forservices through Indian Health Service (IHS). Helpful resources. Coordinate services for physical health, behavioral health, intellectual/developmental disabilities (I/DD), pharmacy, long-term services and supports (LTSS) and traumatic brain injury (TBI). Click the header above each column to sort alphabetically, or type a keyword in the Search box. Part of what makes our program successful involves the variety of mental health already have,... Each column to sort alphabetically, or type a keyword in the loop about progress., you can call AmeriHealth Caritas North Carolina operating as a Counselor with a of. 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