A. SouthCare Provider network has been the HMO provider in Mecklenburg County. On July 31, 2006, the contract with SouthCare will expire. There will be no HMO providers added. Therefore, the Medicaid HMO program will be terminated effective August 1, 2006.
DATE: JULY 01, 2006
Manual: Family and Children’s Medicaid
Change No: 11-06
To: County Directors of Social Services
Effective: July 1, 2006
Requests for information and clarification on Community Care of North Carolina /Carolina Access from counties, recipients, and medical providers have been rapidly increasing. Guidelines for Carolina Access have been issued in administrative letters and subsequent interpretations. In an effort to provide the most current policy and guidance, DMA Administrative Letter 06-02, Addendas 1-4 and all interpretations have been incorporated into manual policy.
Mecklenburg County will use Public Consulting Group (PCG) as the CCNC/CA contact for their county.
This policy is effective July 1, 2006. Apply this policy to applications and redeterminations in process.
Insert: MA-3435, Community Care of North Carolina/Carolina Access, pages 1 through 21 and attachments 1-12 and figure 1 effective July 2006.
If you have any questions, please contact your Medicaid Program Representative.
L. Allen Dobson, Jr., M.D., Assistant Secretary
for Health Policy and Medical Assistance
(This material was researched and written by Sandi Morrow, Policy Consultant, Medicaid Eligibility Unit.)
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.