Provider Outreach to Members

Some providers are encouraging patients to sign up for managed care (i.e. the Standard Plans) and listing the health plans they have contracted with to help patients with health plan selection. We welcome this engagement from our providers, but please note that not all Medicaid members are moving to managed care now. We understand receiving letters or other information from providers to sign up for a health plan is causing some confusion for our members who are not required to sign up at this time.

Members who are not required to sign up include those on the Innovations Waiver or people receiving intensive mental health or substance abuse services.

If you hear from your provider conducting outreach, we encourage you to call the NC Medicaid Enrollment Broker at 833-870-5500 (TTY: 833-870-5588). The enrollment broker can tell you if you are required to sign up for Medicaid Managed Care at this time and can help you with making an informed choice if you are.

Individual & Family-Directed Support

SELF-DETERMINATION | EMPOWER

The Individual and Family Directed Supports Option is based on the principles of Self-Determination.  Self-Determination empowers individuals to gain control over selecting the services or supports that meet their unique needs.  It is both person-centered and person-directed.   Individuals may direct some or all of the services that are provided through the North Carolina Innovations Waiver.  

You and your family have more control over the way your services are provided by directing them yourself. You, your family, or the legally responsible person direct services. You may decide to self-direct one or all of the eligible services you receive through the NC Innovations Waiver. There are two models for you to choose under this option:

Agency with Choice Model - You partner with the provider to supervise or manage support workers.

Employer of Record Model - You, your family, or the legally responsible person supervise or manage support workers.

For more information, click on the links below.

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Help Stop Fraud & Abuse

You can help keep fraud, waste, abuse, unethical, or illegal activity out of our workplace. If you are uncomfortable communicating a concern in person, report it anonymously by calling the toll-free hotline number, 1.855.659.7660, or report it online at EthicsPoint and follow the instructions on the screen