North Carolina Healthcare Services Government Contracts

North Carolina invests $17.5 billion in Medicaid spending annually through agencies like the North Carolina Department of Health and Human Services and NC Department of Health and Human Services - NC Medicaid. North Carolina operates a managed care Medicaid model. NC Medicaid transitioned to managed care in 2021. NC Health Choice provides children's coverage. Major healthcare programs include NC Medicaid Managed Care, NC Health Choice, Innovations Waiver. Professional licensing is managed by the North Carolina Medical Board.

• Valid North Carolina professional license from North Carolina Medical Board
• Enrollment with NC Department of Health and Human Services - NC Medicaid
• Medicare provider enrollment (if applicable)
• Professional liability (malpractice) insurance
• HIPAA compliance program and staff training
• Background checks for all patient-facing staff
• Required: North Carolina professional license, Medicaid provider enrollment

• 1
  Register with NC Department of Health and Human Services - NC Medicaid at https://medicaid.ncdhhs.gov/
• 2
  Obtain licenses through North Carolina Medical Board
• 3
  Pursue certifications: Managed care experience, Behavioral health experience
• 4
  Target key agencies: NC Medicaid, Division of Mental Health
• 5
  Develop telehealth capabilities for expanded reach
• 6
  Build relationships with state health department program managers
• 7
  Consider subcontracting with established healthcare systems
• 8
  Focus on NC Medicaid Managed Care opportunities

• Department of Veterans Affairs (VA)
• Defense Health Agency (DHA)
• Indian Health Service (IHS)
• State Health Departments
• State Medicaid Agencies

These NAICS codes are commonly used for healthcare services government contracts: