Amerihealth caritas nc

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AmeriHealth Caritas North Carolina

1-855-375-8811 - TTY: 1-866-209-6421 - 24 hours a day, 7 days a week



  • WW® (formerly known as Weight Watchers®) membership for qualifying members.
  • Up to $75 in Healthy Rewards on reloadable Care Card for members who complete qualifying healthy behaviors like well care checkups, for items such as health care and hygiene products, over-the-counter (OTC) medications and healthy foods.



  • Free Boys & Girls Club membership for members age 18 or younger.



  • Mission GED program with free High School Equivalency practice and regular tests.


Phone program

  • SafeLink smartphone with Voicemail, Caller ID, Call Waiting, and Long Distance with 1,000 minutes, unlimited texting and 1 GB of data per month; calls to and from the health plan do not count against monthly minutes.


Substance Use Disorder (SUD) recovery

  • A one-time flexible recovery benefit for adult members ages 18-64 who qualify and successfully complete a non-hospital SUD recovery program.


Behavioral health

No extra services.


Alternative healing

No extra services.



No extra services.


Parent, peer and online support

No extra services.


Chiropractic care

No extra services.


Home-delivered meals

  • 2 meals a day for up to 7 days at no cost for qualifying members discharged from a hospital


Pain management

  • Living Beyond Pain program of care coordination and pain management education for members with chronic pain diagnosis, including access to non-narcotic alternatives such as acupuncture, massage therapy and biofeedback.



  • 1 extra pair of glasses and 1 added eye exam every 2 years in addition to regular Medicaid benefit for adults ages 21-64.



No extra services.


Most North Carolinians don't know about major Medicaid change coming into effect in July, poll says

North Carolina is only three weeks away from a major transformation of its Medicaid system and a new poll shows most people don't know about it.

On July 1, the state is doing away with its current system of paying health care providers a fee for every service and switching to a Managed Care system.

The Medicaid Managed Care Transformation takes effect July 1. The plan would allow Medicaid patients to get care from one of five commercial plans operated by private companies -- AmeriHealth Caritas North Carolina, Blue Cross and Blue Shield of North Carolina, UnitedHealthcare of North Carolina, WellCare of North Carolina and Carolina Complete Health.

The new plan is a major shift in North Carolina's health care system with a goal of boosting access to preventative care and driving down long-term health care costs.

But a new poll from North Carolina for Better Medicaid (NCBM) found that two out of three people knew little to nothing about the change that could affect who and where their doctors are.

Pastor Odell Cleveland of Mt. Zion Baptist Church in Greensboro is taking it upon himself to educate his church community.

"I think the fact that once they're aware -- this allows them to choose and customize in a certain way that benefits for their families and take care of themselves because the whole social determinants of health and all the preventive things make a big difference," Cleveland said.

The NCBM also found that once residents were made aware of the benefits of Medicaid Managed Care, there was strong support for the transition across the state.
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Hospital Procedure Continuity at NC Medicaid Managed Care Launch NC Medicaid wants to ensure beneficiaries receive the care they need as scheduled prior to July 1.

Note: This bulletin has been replaced by Prepaid Health Plan Flexibility for Prior Authorizations During First 60 days after Managed Care Launch
 published on July 7, 2021.

NC Medicaid wants to ensure that during the transition to NC Medicaid Managed Care that Medicaid beneficiaries receive the care they need as scheduled prior to July 1. This includes confirming that procedures for care scheduled prior to July 1 continue without interruption. 

The Department and the health plans want to give providers the information they need to provide care to beneficiaries and receive reimbursement for the care that is provided. To support this effort, the Department is compiling the following information for hospitals/facilities and providers to make sure that they have the information to maintain their scheduled procedures. 

It is critical for hospitals and health systems to share this information broadly and to include their care teams at all levels of the organization, including outpatient facilities and clinics, schedulers, phone centers and individual departments.

The health plans provide information on how they are handling prior authorizations on their website and Quick Reference Guides. Please see the below links and bullets on how you can find out more information. Additionally, hospitals/facilities can access the NC Medicaid Managed Care Provider Playbook for the latest information, tools and other resources to help with the transition to managed care.

To further guarantee that providers and hospitals have confidence in their ability to receive payment for services rendered, the Department will monitor authorization and claims data from the health plans to verify that they are following the above described prior authorization waivers. 

We remain committed to working with our provider and health plan partners to verify services are paid for without undue burden to our beneficiaries during this transition. If providers experience issues during this transition period, they can reach out to the Medicaid Provider Ombudsman at [email protected] or 919-527-6666.


This blog is related to:

A digital image of an ad for Medicaid managed careA digital image of an ad for Medicaid managed care
Posted inMedicaid

By Rose Hoban Dave Richard woke up at midnight on July 1, sent a few emails to legislators and to people on his work team, and went back to sleep.  It was a rather unremarkable evening, and by his account, a peaceful sleep for Richard, given that something remarkable was happening. Midnight was the time […]

shows a map of North Carolina broken up into six regions for Medicaid managed care provision
A graphic with money in the background. Medicaid transformation graphic, prepaid health plan, medicaid expansion
Image of money with a caduceus superimposed on the bills. We're using this image to denote Medicaid managed care.
shows image of Lady Justice from the Old Bailey in London, managed care
shows a map of North Carolina broken up into six regions for Medicaid managed care provision

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