Medicaid Managed Care Plans

WakeMed is a participant in NC Medicaid & NC Health Choice.

WakeMed currently has a contract with the following Medicaid managed care plans in our region:

• Amerihealth Caritas
• Healthy Blue
• Carolina Complete Health
• UnitedHealthcare Community Plan
• WellCare Health Plans, Inc.

Medicaid Tailored Plans

North Carolina launched the Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan on July 1, 2024. Tailored Plans cover specific Medicaid enrollees who are currently members of NC Medicaid Direct. 

• Alliance Health Tailored Plan (includes only WakeMed Raleigh facility, WakeBrook facility and limited WakeMed Physician Practice locations)

What This Means for You

• Emergency services are covered regardless of your plan at any emergency department.
• You will be required to seek non-emergency care from specific doctors, hospitals and health care organizations that are in-network with your Medicaid managed care plan.
• WakeMed must get prior authorization to be paid for almost all services. If WakeMed is out of network, it is unlikely that we will receive authorization. This means you may not be able to receive non-emergency care from WakeMed hospitals and providers.
• While our hospitals and emergency departments are in-network with the plans listed above, not all of our physician practices accept Medicaid. Please contact your health care provider’s office before scheduling an appointment to confirm your Medicaid plan is accepted.

Updated August 2025