List of North Carolina Medicaid lien contacts for 2022 to request lien statements for personal injury cases
August 25, 2022
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: [email protected]
- WellCare:
Rawlings Group
4 Eden Parkway
La Grange, KY 40031
Phone: 888-285-1276
Fax: MANUAL FILE COORDINATOR at 502-440-1100
Email: [email protected]
- Healthy Blue
P.O. Box 659940
San Antonio, TX 78265-9939
Phone: 844-916-3651
Fax: 844-634-2520
Email: [email protected]
- AmeriHealth
Attn: Subrogation Unit
200 Stevens Drive
Philadelphia, PA 19113
Phone: 215-863-5837
Fax: 215-863-5221
Email: [email protected]
- United Healthcare
Optum Subrogation
11000 Optum Circle
Eden Prairie, MN 55344
Fax: 800-842-8810
Email: [email protected]
- Trillium: www.trilliumnc.org
Phone: 877-695-1296
Email: Trillium@gainwelltechnologies.
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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
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