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Frequently Asked Questions:
Will my patients need to change their primary care provider or their health plan?
- If you currently hold a Medicaid contract with Carolina Complete Health or WellCare of North Carolina, you will be considered in-network on 4/1/26, and therefore your members will stay assigned to you.
- Additionally, with current WellCare and Carolina Complete Health Medicaid members being automatically transitioned to the unified health plan, these members will not need to change their health plan.
If I have a contract with WellCare Medicaid but not Carolina Complete Health, or vice versa, will I be considered in-network after 4/1/26?
- Providers holding contracts with either WellCare or CCH will be considered in-network with the new merged entity. No action is required by the provider.
If I am contracted with both entities for Medicaid, and one of the contracts is terminated, do I need to do anything? Will I be considered in-network after 4/1/26?
- One of your contracts was terminated so there would be only one agreement between you and the merged plan.
- Providers do not have to take action and will be considered in-network under the merged plan on 4/1/26.
- Importantly, whichever contract is maintained for Medicaid will remain in effect after the merger and will cover members under the new state-wide unified health plan.
Have current WellCare members been made aware of this change and will they automatically transition? What impact will this have on members?
- WellCare Medicaid members received an announcement letter in January, followed by a series of informational materials delivered through multiple channels and platforms. These may include, but are not limited to, direct mail, text message onboarding journeys, paid media (digital and traditional), social media (paid and organic), public relations, and grassroots activities across all six regions.
- These communications will ensure that members understand what is changing, what is staying the same, and how to access their benefits. No action will be required from members, and there will be no impact on their current Medicaid coverage.
For more FAQs, please visit: https://network.carolinacompletehealth.com/merger.html
Integration Provider Information Session:
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February 19, 2026 at 12:00PM: Join us for an information session to hear updates about the integration, including operational changes and timelines. Providers can ask questions in advance, or during the session. This session will be virtual and recorded. Multiple sessions will be offered to provide flexibility and support throughout the merger. To register and view available dates, click here.
Please contact your Provider Relations representative with Carolina Complete Health or WellCare of North Carolina with any questions. Stay informed by bookmarking the Integration Provider Page which will be frequently updated with resources, trainings, and FAQs: https://network.carolinacompletehealth.com/merger.html
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