NC Health Choice for Children Provider Information

N.C. Health Choice (NCHC)is a fee-for-service program providing free or low-cost health insurance for children and teens up to their 19th birthday. The benefits covered by NCHC are the same as the benefits covered by the State Employees Health Plan. Vision, dental, and hearing services are also covered and follow the same guidelines as Medicaid.

Providers submit claims to Blue Cross and Blue Shield of N.C. (BCBSNC) for processing using the State Employees Health Plan claim form. Any licensed provider in North Carolina can provide services to NCHC recipients. It is not necessary for providers to enroll with BCBSNC to provide services and submit claims, but claims submitted by BCBSNC providers generally process for payment quicker than claims submitted by providers who are not enrolled with BCBSNC.

For more information, contact:

N.C. Health Choice
PO Box 30111
Durham, NC 27702-3111
1-800- 422- 4658

For information about mental health services/substance abuse services, contact:

NC Health Choice Mental Health Case Manager
PO Box 12438
Durham, NC 27702-2438
1-800-753-3224

Frequently Asked Questions

Carolina ACCESS Enrollment Instructions for Providers

Provider Forms for Special Needs

• Provider Notification
• Physician Form Criteria Definitions
• Physician's Form

May 16, 2007