What is a Carolina Access provider?

Asked by: Prof. Lupe Kuhlman  |  Last update: October 8, 2025
Score: 4.1/5 (5 votes)

Community Care of North Carolina/ Carolina Access (CCNC/CA), provides Medicaid and North Carolina Health Choice recipients with a medical home and Primary Care Provider (PCP). A Primary Care Provider manages care for continuity and ensures services are provided that are medically necessary.

What is the difference between Carolina Access and Medicaid?

The medical services you will get as a member of Carolina ACCESS are the same as for any recipient of Medicaid. The only difference is that Carolina ACCESS will provide you with additional services that we just talked about. (Give the client a Carolina ACCESS Member Handbook, and say to them):

Is Carolina Complete Health the same as Medicaid?

What is Carolina Complete Health? Carolina Complete Health is a provider-led Medicaid Managed Care health plan, providing coverage to pregnant women, families with children, the elderly, adults with disabilities, and children with disabilities in Regions 3, 4, and 5. View the Carolina Complete Health coverage map.

What are the different types of Medicaid in NC?

Health Plans
  • NC Medicaid Managed Care Health Plans.
  • Behavioral Health I/DD Tailored Plans.
  • EBCI Tribal Option.
  • Health Plan Contracts.

How much money can you have in the bank to qualify for Medicaid in NC?

In 2025, a single Medicaid Nursing Home applicant in North Carolina must meet the following criteria: 1) Income under the Medicaid pay rate (est. to be between $8,004 / month and $11,093 / month). 2) Assets under $2,000 3) Require a Nursing Home Level of Care.

NC HealthConnex: How North Carolina's HIE Improves Patient Care and Providers' Work

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Will Medicaid check my bank account?

Yes, if you're submitting a Medicaid application, the agency you're sending it to can check your bank account.

How much money is too much for Medicaid in NC?

Family size of 1 (single person)

An adult ages 19-64 may be eligible if the family income is $1,732/month or less. An adult ages 65+ may be eligible for full Medicaid if the family income is $1,255/month or less, and for other Medicaid programs if the family income is $1,695/month or less.

What does Medicaid not cover?

Though Medicaid covers a wide range of services, there are limitations on certain types of care, such as infertility treatments, elective abortions, and some types of alternative medicine. For example, the federal government lists family planning as a mandatory service benefit, but states interpret this differently.

Does Medicaid cover dental for adults in NC?

Dental care that is deemed “medically necessary” is covered by Medicaid. This includes routine checkups for both adults and children. However, care that is deemed “experimental” is not covered by this policy.

What is NC Medicaid called now?

On July 1, 2021, most Medicaid beneficiaries began receiving the same Medicaid services under NC Medicaid Managed Care. With managed care, beneficiaries choose a health plan and get care through the health plan's network of doctors. Some beneficiaries remain NC Medicaid Direct.

What is the best health insurance in North Carolina?

Best and cheapest health insurance in NC
  • $458/mo. Blue Cross and Blue Shield of NC: Best overall. Blue Cross and Blue Shield of NC: Best overall.
  • $427/mo. AmeriHealth Caritas Next: Cheapest in North Carolina. AmeriHealth Caritas Next: Cheapest in North Carolina.
  • $549/mo. UnitedHealthcare: Best for free routine doctor visits.

Does NC Medicaid have OTC benefits?

Pharmacy and prescription drug benefits. Your benefits include a wide range of prescription and over-the-counter (OTC) medicines. You can even have your medicines delivered to your home.

What are the four types of Medicaid?

There are four types of Medicaid delivery systems:
  • State-operated fee-for-service (FFS)
  • Primary care case management (PCCM)
  • Comprehensive risk-based managed care (MCO model)
  • Limited-benefit plans.

What is the Carolina access plan?

Community Care of North Carolina/ Carolina Access (CCNC/CA), provides Medicaid and North Carolina Health Choice recipients with a medical home and Primary Care Provider (PCP). A Primary Care Provider manages care for continuity and ensures services are provided that are medically necessary.

Is access to care Medicaid?

Medicaid and the Children's Health Insurance Program (CHIP) provide critical health coverage for millions of people. Through these programs, the Centers for Medicare and Medicaid Services (CMS) supports access to care in many ways.

Can adults qualify for Medicaid in North Carolina?

NC Medicaid is now available to more people, including single adults ages 19-64.

Why don't dentists take Medicaid anymore?

"The number of adults on Medicaid who are able to see a dentist is woefully short of where it needs to be." Many dentists are reluctant to participate in the government program because it typically pays as little as half of what they get from patients with private insurance.

Does NC Medicaid cover glasses for adults?

for Children and Adults

Children, birth – 20 years old, who have NC Medicaid or Health Choice are eligible for a routine eye exam and prescription glasses once every year. Adults 21 years old and older, who have NC Medicaid, may get a routine eye exam and prescription glasses once every two years.

Will Medicaid pay for dental implants?

Medi-Cal is California's Medicaid program. It is very common in California. Medi-Cal doesn't cover Dental Implants. If you have Medi-Cal and need Dental Implants, you can make use of our attractive financing options.

What are the downsides of Medicaid?

Disadvantages of Medicaid

One of the primary reasons for this is that Medicaid reimbursements are lower than those of commercial insurers for most procedures and treatments.

Is everything free with Medicaid?

States can impose copayments, coinsurance, deductibles, and other similar charges on most Medicaid-covered benefits, both inpatient and outpatient services, and the amounts that can be charged vary with income. All out of pocket charges are based on the individual state's payment for that service.

Does NC Medicaid check your bank account?

Upon applying for Medicaid, the program conducts an initial financial assessment. This assessment thoroughly reviews your financial status and bank accounts to determine if you meet the asset and income criteria.

Can I buy a car while on Medicaid?

Certain assets, though, such as cars and homes, are considered "non-countable," meaning they aren't considered when a Medicaid agency determines your eligibility. However, by spending a large amount on a given item — in this case, a vehicle — the agency is likely to consider the purchase an investment.