Updated 1 September 2021
As of 1 Sept 2021 Sandhills Pediatrics is participating with Medicaid Health Plans Carolina Complete Health, Wellcare and NC Medicaid Direct.
Comparison website between Carolina Complete Health and Wellcare
This new system of paying for healthcare for NC Medicaid and NC Health Choice beneficiaries in NC started 1 July 2021.
IF you have received a letter saying you are signed up with AmeriHealth Caritas, Healthy Blue, or United HealthCare Community Plan, and would like to still see Sandhills Pediatrics, THEN please call the enrollment broker 1-833-870-5500 and ask to switch to Carolina Complete Health or Wellcare. (with Sandhills Pediatrics as the PCP). You will still be able to see us regardless of what plan is on your card until 30 November 2021) BUT best to get this fixed ASAP while you are thinking about it! If your plan is Carolina Complete Health or Wellcare and your Primary Care Provider (PCP) is someone other than Sandhills Pediatrics and you us to be your child's doctor, please call them and tell them you want to switch PCPs.- Carolina Complete Health 833-552-3876 and follow the prompts for member services
- Wellcare 866-799-5318
- 833-870-5500 (TTY: 1-833-870-5588) Hours of operation: 7 a.m. to 8 p.m., Monday through Sunday
- LINDSEY BELLAMY, DO
- ANDREA BENNETT-CAIN MD
- JOSEPH BOALS, MD
- SARAH LOCKLEAR BREWINGTON, MD
- SARAH CARR, MD
- CHRISTOPH DIASIO, MD
- NATALEE FRENCH, MD
- FREDERICK HARRISON MABRY, MD
- JENNIFER MABRY, MD
- NORA "CATE" MASON, MD
- SCOTT SEXTON, MD
- REBECCA SIMPKIN, MD
- WILLIAM "BILL" STEWART, MD
- NIKKI ETEO, CPNP
- GWEN GARCIA-LEACH, CPNP
- JESSICA HAYWOOD, FNP
- ELIZABETH HODGIN, CPNP
- AMY IVEY, CPNP
- HATTIE MCCALL, PA-C
- KIM NIEMEYER, CPNP
- KAMERON SPERDUTO, CPNP
- MATTHEW THOMPSON, MSN, FNP-C
FAQs
What should I do right now to get ready?
The first way to get ready is to make sure Sandhills Pediatrics is listed on your Medicaid or NC Health Choice card. If it is not, and you still want to see Sandhills Pediatrics after 1 July 2021, call your local DSS office to have us added to your card. Please make sure they have your current address!
- Cumberland County 910-677- 2316
- Chatham County 984-214-2113
- Harnett County 910-893-7500
- Hoke County 910-875-8725
- Lee County 919-718-4690
- Moore County 910-947-2436
- Montgomery County 910-576-6531
- Richmond County 910-997-8200
- Robeson County 910-671-3500
- Scotland County 910-277-2500
Comparison website between Carolina Complete Health and Wellcare
If I get a letter saying my children stay in Medicaid Direct, do I need to do anything?
No
Why is this change happening to NC Medicaid and NC Health Choice?
The NC General Assembly passed the first of three medicaid transformation laws in 2015. Link to Bill
Background from https://medicaid.ncdhhs.gov/transformation
"In 2015, the NC General Assembly enacted legislation directing DHHS to transition Medicaid and NC Health Choice from fee-for-service to managed care. Under managed care, the state contracts with insurance companies, which are paid a predetermined set rate per enrolled person to provide all services. The Department was on track to go live Feb. 1, 2020; however, new funding and program authority were required from the General Assembly to meet this timeline and Medicaid Managed Care was suspended in November 2019. In July 2020, legislation authorized the restart of Medicaid Managed Care transformation efforts with a July 1, 2021, launch date for Standard Plans and a July 1, 2022, launch date for Behavioral Health I/DD Tailored Plans. “
NC Medicaid FAQ Please let our staff know if you have any questions!Anything Else?
If your child is enrolled in free and reduced lunch, make sure you don’t miss out on the P-EBT benefit. The Pandemic Electronic Benefit Transfer (P-EBT) program helps families purchase food for children whose access to free or reduced-priced meals at school has been impacted by COVID-19 because students are learning virtually, outside of brick-and-mortar schools.
English One Page Explanation of P-EBT Benefit Spanish One Page Explanation of P-EBT Benefit Child Tax Credit On 11 March 2021 President Biden signed into law the American Rescue Plan Act of 2021. This new stimulus package includes major changes to the child tax credit of up to $3600 per child <6yo and $3000 per child 6-17 yo , Many families will begin to receive some of this money as a monthly payment in July 2021. The fastest way for the government to send you money is electronically, so please make sure to list your children when you file your taxes and include a current checking account!