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Health Plans NC Medicaid Managed Care Health Plans. Behavioral Health I/DD Tailored Plans. EBCI Tribal Option. Health Plan Contracts.
Retroactive eligibility allows persons time to apply for Medicaid without stressing over how the bills are going to be paid. As mentioned previously, as long as the applicant is eligible for Medicaid the three months prior to application, Medicaid will pay for covered expenses accrued during these months.
Called NC Medicaid Managed Care, beneficiaries choose a health plan and get care through a health plans network of doctors. Some beneficiaries are remaining in traditional Medicaid, which is called NC Medicaid Direct.
The bill removes the continuous Medicaid coverage requirement from the COVID-19 Public Health Emergency. This means on April 1, 2023, state Medicaid programs are no longer required to maintain continuous coverage for beneficiaries.
Individuals must be advised that an eligibility determination cannot be made until the Medicaid application is complete. An application may be submitted for ongoing and/or retroactive Medicaid. Retroactive coverage is 1, 2, or 3 months prior to the month of application.
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Retroactive Medi-Cal covers unpaid medical expenses from the three months prior to the month you apply for Medi-Cal. If you have unpaid bills from the three previous months, enter that information during the application process. If you qualify for Medi-Cal, you will also be evaluated for retroactive coverage.

5200 medicaid application