Find In-Network Specialists
Carolina Complete Health is a Medicaid managed care organization that focuses on providing healthcare services to eligible individuals in North Carolina. Formed in 2019, the company emerged as part of a state initiative aimed at improving the coordination of care for patients enrolled in Medicaid. By leveraging comprehensive and personalized care plans, Carolina Complete Health addresses social determinants of health and aims to enhance health outcomes for its members. The organization is a subsidiary of Centene Corporation, which has extensive experience in managing government-sponsored healthcare programs across the United States.
As a provider of managed care, Carolina Complete Health serves a growing membership base, contributing significantly to the overall Medicaid landscape in North Carolina. The organization offers various plan types, including tailored benefits to meet the diverse needs of its members. Key plan offerings include Health Plans that cover a range of services such as medical care, behavioral health, and preventive services, ensuring comprehensive support for its enrollees. With a commitment to improving access and quality of care, Carolina Complete Health is positioned to play a pivotal role in the state’s healthcare system.
Carolina Complete Health offers a specialized Chronic Care Management program designed to assist individuals managing chronic conditions such as diabetes, asthma, and heart disease. This program includes personalized health assessments, access to case managers, and customized care plans aimed at improving overall health outcomes. Members also have access to health education resources, regular follow-ups, and coordination of care to ensure comprehensive management of their conditions.
Carolina Complete Health is dedicated to maternal and child health through its Maternity Care program, which includes prenatal and postnatal services. These services encompass access to obstetricians, educational resources on pregnancy and infant care, and connections to community support programs. They also offer a dedicated team to help expectant mothers navigate their healthcare needs, ensuring a healthier pregnancy and positive infant health outcomes.
Carolina Complete Health implements a comprehensive Behavioral Health program, addressing both mental health and substance use disorders. This program provides members with access to various services, including therapy, counseling, and medication management. They emphasize the importance of integrated care, often coordinating with primary care providers to ensure seamless support for those facing behavioral health challenges. Members can also access 24/7 crisis support services for urgent needs.
Yes, Carolina Complete Health plans emphasize preventive care, offering a range of services at no additional cost to members. These services include annual wellness visits, immunizations, screenings (such as for cancer and diabetes), and health education programs. The aim is to promote proactive health management and detect potential health issues early, ensuring better overall health outcomes for its members.
