State issues wrong Medicaid cards for 48,752 children in NC



Article Published: Jan. 10 | Modified: Jan. 10

The N.C. Department of Health and Human Services is working to correct a mistake in the mailing of new Medicaid cards to the wrong recipients.

Effective Jan. 1, due to new eligibility rules, 70,253 children were switched from N.C. Health Choice to Medicaid. As a result, the N.C. Department of Health and Human Services issued new Medicaid cards to the affected recipients, who transitioned from N.C. Health Choice to Medicaid, according to a statement by Sandra Terrell, the department’s acting Medicaid director.

The Department of Health and Human Services has determined 48,752 of the new Medicaid cards were mailed to the incorrect recipients. The incorrect card shows the child’s name, Medicaid identification number, date of birth and primary care physician.

The department has begun a careful review of this incident to determine how it occurred and to ensure personal information is protected, according to Terrell.

DHHS knows exactly which Medicaid cards were sent to which addresses and is rapidly working to issue correct Medicaid cards.

This incident does not affect Medicaid coverage, and benefits are not affected, she said. Medicaid recipients who have received incorrect Medicaid cards will be sent a correct Medicaid card with specific instructions on what to do with the incorrect Medicaid card. In the meantime, children needing services without a correct Medicaid ID card can use their N.C. Health Choice ID number or card, which is still valid. Providers are also able to verify eligibility in order to deliver services.

“The Department of Health and Human Services takes the privacy of Medicaid recipients very seriously and is working to put measures in place to monitor the use of affected Medicaid cards for potential fraud. We regret this incident occurred and are working to ensure it is corrected as soon as possible,” according to Terrell.

If individuals have questions about this incident, they are advised to call the DHHS Customer Service Center number located on the back of their Medicaid card, (800) 662-7030.

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