NC Medicaid (NC Medicaid Managed Care) — managed by North Carolina Department of Health and Human Services (NCDHHS) — Division of Health Benefits
Program Name
NC Medicaid (NC Medicaid Managed Care)
Managing Agency
North Carolina Department of Health and Human Services (NCDHHS) — Division of Health Benefits
Reimbursement Rates
$16–$24/hour for personal care; $45–$85/visit for skilled nursing
Application Timeline
90–120 days
Apply through NCTracks Provider Enrollment
Complete NCDHHS Provider Application
Submit NPI, EIN, and NC business registration
Complete SBI background checks
Obtain NC DHSR Home Care Agency License
Submit liability insurance documentation
Contract with NC Medicaid Managed Care plans (Standard Plans and Tailored Plans)
These Medicaid waiver programs fund home and community-based services in North Carolina:
Community Alternatives Program for Disabled Adults (CAP/DA)
Community Alternatives Program for Children (CAP/C)
Innovations Waiver
TBI Waiver
NCTracks + managed care plan billing
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To enroll as a Medicaid home care provider in North Carolina, you must apply through North Carolina Department of Health and Human Services (NCDHHS) — Division of Health Benefits. The process includes: Apply through NCTracks Provider Enrollment. Timeline: 90–120 days.
$16–$24/hour for personal care; $45–$85/visit for skilled nursing
Required certifications include: NC DHSR License, NPI Number, SBI Background Check.
Community Alternatives Program for Disabled Adults (CAP/DA); Community Alternatives Program for Children (CAP/C); Innovations Waiver; TBI Waiver
Missing DHSR license; NCTracks enrollment errors; MCO credentialing delays