NC State Medicaid Phone Number: Plans, County DSS, and Fraud

The main NC Medicaid phone number is 888-245-0179. That line reaches the NC Medicaid Contact Center, run by the state Department of Health and Human Services, and handles general questions about eligibility, covered benefits, and program policies for both members and providers.1NC Medicaid. Contacts Hours are Monday through Friday, 8 a.m. to 5 p.m., closed on state holidays. For TTY, dial 711 or use RelayNC.com.2NC Medicaid. How To Apply for NC Medicaid

You’ll hit an automated menu first. Listen through it before pressing anything; the routing works better than pressing zero. The Contact Center is the right call for broad policy questions or when you don’t know where else to start. For anything tied to your own case, a different number will serve you better.

When to Call Your County DSS Instead

Your local County Department of Social Services is where your case actually lives. New applications, eligibility decisions, renewals, and changes like a new job, new address, or new household member all go through your county office, and the caseworker assigned to your file works there.2NC Medicaid. How To Apply for NC Medicaid

Each of North Carolina’s 100 counties has its own DSS number. Look yours up through the NCDHHS Local DSS Directory at ncdhhs.gov/divisions/social-services/local-dss-directory. If you don’t know which county handles your case, 888-245-0179 can point you to the right one. Your county staff can pull up your file, review documents you’ve submitted, and tell you where things stand — the statewide line cannot.

Managed Care Health Plan Numbers

Most NC Medicaid members are enrolled in a managed care health plan. Call your plan for questions about finding a doctor, referrals, prior authorizations, and covered services.3NC Medicaid Managed Care. Health Plan Types

Standard Plans

  • AmeriHealth Caritas North Carolina: 855-375-8811 (TTY 866-209-6421)
  • Carolina Complete Health: 833-552-3876 (TTY 711)
  • Healthy Blue: 844-594-5070 (TTY 711)
  • UnitedHealthcare Community Plan: 800-349-1855 (TTY 711)
4NC Medicaid Managed Care. Who to Contact for Help

If you see “WellCare” on older paperwork, that plan merged into Carolina Complete Health. Use the Carolina Complete Health number above.

Children and Families Specialty Plan

  • Healthy Blue Care Together: 833-777-3611 (TTY 711)
4NC Medicaid Managed Care. Who to Contact for Help

Tailored Plans

Tailored Plans serve people with serious behavioral health conditions, intellectual or developmental disabilities, or traumatic brain injuries.

  • Alliance Health: 800-510-9132 (TTY 711)
  • Partners: 888-235-4673 (TTY 800-735-2962)
  • Trillium Health Resources: 877-685-2415 (TTY 711)
  • Vaya Health: 800-962-9003 (TTY 711)
4NC Medicaid Managed Care. Who to Contact for Help

Choosing or Switching a Plan

To pick a health plan, switch during an open enrollment period, or compare your options, call the NC Medicaid Enrollment Broker at 833-870-5500.4NC Medicaid Managed Care. Who to Contact for Help The broker is neutral and doesn’t favor one plan over another.

Reporting Fraud

Suspected fraud goes to a different destination than the numbers above. If a provider is billing for services you never received, or someone is misusing a Medicaid card, call North Carolina’s Office of Compliance and Program Integrity at 919-527-7749.5NC Medicaid. Office of Compliance and Program Integrity (OCPI) You can also report to the federal HHS Office of Inspector General at 800-447-8477 (800-HHS-TIPS), or online at tips.oig.hhs.gov.6Office of Inspector General. Submit a Hotline Complaint Either channel accepts anonymous reports.

What to Have Ready Before You Call

A little prep saves time on hold. Have these in front of you:

  • Your Medicaid ID number, on the front of your card. If the card’s lost, check any prior approval letter from your county DSS.
  • Your Social Security number and date of birth, used to verify identity and pull your file.
  • Household income information — recent pay stubs or tax documents, plus household size. NC Medicaid uses gross monthly income (before taxes).7NC Medicaid. NC Medicaid Eligibility
  • Your current mailing address. Renewal notices, benefit letters, and new cards all come by mail, and an outdated address is a common reason people lose coverage.

Calling about a specific claim or a denial? Also have the date of service, the provider’s name, and any denial letter or explanation of benefits ready.

Language Help and TTY

Ask for a free interpreter when you connect; you don’t need to arrange one yourself. Federal law requires providers receiving Medicaid funding to offer language services to callers with limited English proficiency.8Medicaid.gov. Translation and Interpretation Services For hearing-impaired callers, dial 711 to reach Telecommunications Relay Service, which connects to any NC Medicaid number, or use RelayNC.com for internet-based relay.2NC Medicaid. How To Apply for NC Medicaid