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List of North Carolina Medicaid lien contacts for 2022 to request lien statements for personal injury cases

Hey wait, when did there get to be multiple insurers providing Medicaid benefits!?  And who do I contact to get a Medicaid lien?

Great questions!  Some answers:

Back on Feb. 4, 2019, the North Carolina Department of Health and Human Services announced the selection of Prepaid Health Plans that will participate in Medicaid managed care when the program launches in November 2019. The Department awarded contracts to five entities:

  • Statewide PHP contracts were awarded to the following entities which will offer Standard Plans in all regions in North Carolina:

        -  AmeriHealth Caritas North Carolina, Inc.

        -  Blue Cross and Blue Shield of North Carolina

        -  UnitedHealthcare of North Carolina, Inc.

        -  WellCare of North Carolina, Inc.

        - A regional PHP contract was awarded to Carolina Complete Health, a provider-led entity, which will offer plans in Regions 3 and 5.

Plaintiff lawyers who represent clients who are Medicaid recipients who have been in car wrecks need to track what these entities pay for medical treatment in order to account for the Medicaid lien and repay the government.

Before this privatization of Medicaid, all of the subrogation has been handled by a group called HMS.  Now that the PHPs have come along, we have to request subrogation information from each PHP.

Here is a list of the subrogation contacts for the Medicaid PHPs.

PHP Medicaid Lien Contact Information:

 

  • Carolina Complete Health

Rawlings Group

4 Eden Parkway

La Grange, KY  40031

Phone: 888-285-1276  

Fax: MANUAL FILE COORDINATOR at 502-440-1100

Email: CenteneReferrals@rawlingscompany.com

 

  • WellCare:

Rawlings Group

4 Eden Parkway

La Grange, KY  40031

Phone: 502-814-2489

Fax:  502-440-1080

 

  • Healthy Blue

 P.O. Box 659940

San Antonio, TX 78265-9939

Phone: 844-916-3651

Fax: 844-634-2520

Email: NCCompliance@healthybluenc.com

 

  • AmeriHealth

Attn: Subrogation Unit

200 Stevens Drive

Philadelphia, PA 19113
Phone: 215-863-5837

Fax: 215-863-5221
Email: subrogation@amerihealthcaritas.com

 

  • United Healthcare

Optum Subrogation

11000 Optum Circle

Eden Prairie, MN 55344

Fax: 800-842-8810

Email: subrogationreferrals@optum.com

 

  • Trillium:   www.trilliumnc.org 

Phone: 877-695-1296

Email: Trillium@gainwelltechnologies.com

_________

The subrogation providers above are subject to change, but this is the list as of 8/25/2022.

 

Chris Nichols

Nichols Law Firm

North Carolina and Raleigh Personal Injury Lawyer

www.NicholsTrialLaw.com 1.800.906.5984

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