Managed Care Information for Consumers
CCNC/CA Information for Providers
Health Check Information for Consumers
Community Care of North Carolina/Carolina ACCESS (CCNC/CA) is the primary care case management health care plan for a majority of Medicaid citizens of this state. The objective of CCNC is to create community health networks to achieve long-term quality, cost, access and utilization objectives.
The Managed Care section oversees the Managed Care Customer Service Unit, Program Operations, Risk Contract, and Health Check.
DMA's Managed Care Customer Service Unit provides information to callers regarding Medicaid covered services or resources that are available to help resolve problematic issues and/or navigate the Medicaid health care system. A majority of callers are Medicaid recipients; however, service providers also call for assistance with situations that involve the delivery of care to Medicaid recipients.
The Customer Service (CS) Unit creates, reviews, and analyzes reports used to track program status and performance.
Program Operations in conjunction with Customer Services is responsible for the day to day operation of North Carolina's Managed Care programs including CCNC/CA and Health Check. Specific responsibilities of the unit include:
North Carolina expanded the federal Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program (which has been in existence since Medicaid began) to form the Health Check program in 1993. EPSDT serves as the standard for providing healthcare to Medicaid recipients under the age of 21. The purpose of the Health Check program is to facilitate regular preventive medical care and the diagnosis and treatment of any health problem found during a screening. There is no separate enrollment in Health Check. If someone is eligible for Medicaid and is under the age of 21, they automatically receive Health Check services.
Health Check Automated Information and Notification System (AINS)
The following Health Check strategies have been implemented statewide:
An integral part of the Health Check Program is a special initiative called Health Check Coordination Services. This program is operational in all 100 counties Statewide, and consists of specially trained Health Check Coordinators working to reduce barriers and improve access to preventive health services. The Division of Medical Assistance works in close collaboration with the Division of Public Health’s (DPH) Women’s and Children’s Health Section to provide guidance to the project counties.