Join AmeriHealth Caritas Next Today

As of January 1, 2023, AmeriHealth Caritas Next, our individual and family health plans both on and off the Exchange, will be expanding to ten additional counties in North Carolina. Participating on the Exchange aligns with our vision to empower those in need across their full life journey by providing a health insurance option for those who otherwise would have no access to health insurance coverage through their employer, Medicaid, or Medicare. We aim to continue to be there for our members as they transition out of Medicaid and can gain coverage through the Health Insurance Marketplace.

We are currently developing a network of hospital, physical, ancillary, and behavioral health care providers in the counties below, and we want to partner with dedicated providers like you.

New AmeriHealth Next counties:
  • Ashe
  • Avery
  • Burke
  • Caldwell
  • Cherokee
  • Graham
  • Henderson
  • Polk
  • Rockingham
  • Watauga
Current AmeriHealth Next counties:
  • Alexander
  • Alleghany
  • Buncombe
  • Catawba
  • Clay
  • Davidson
  • Davie
  • Forsyth
  • Guilford
  • Haywood
  • Iredell
  • Jackson
  • Macon
  • Madison
  • McDowell
  • Mitchell
  • Randolph
  • Rutherford
  • Stokes
  • Surry
  • Swain
  • Transylvania
  • Wilkes
  • Yadkin
  • Yancey

How to join

For providers who already participate with AmeriHealth Caritas North Carolina, our Medicaid plan*:

Participating Medicaid providers will receive an amendment to their existing contract. To request an amendment to your existing contract, please complete a Provider Contract/Amendment Inquiry Form (PDF) or current roster and return by email to ProviderRecruitmentNext@amerihealthcaritas.com.

*Participating providers do not need to complete data intake or credentialing forms.

New providers who would like to participate

To request a Provider Agreement, please complete a Provider Contract/Amendment Inquiry Form (PDF) and return by email to  ProviderRecruitmentNext@amerihealthcaritas.com.

Council for Affordable Quality Healthcare (CAQH) credentialing

Our goal is to make the credentialing application process as easy as possible, and we encourage all providers to utilize the Council for Affordable Quality Healthcare (CAQH) system. Please provide us with your CAQH ID number and grant us access to your information.

If you are not currently a CAQH-participating provider, we highly recommend subscribing at caqh.org. If you do not wish to become a CAQH-participating provider or if you are an organizational provider applying for participation with AmeriHealth Caritas Next, please call Provider Services at 1-855-266-0219.

AmeriHealth Caritas North Carolina is one of five prepaid health plans selected by the state to serve children and adults in the Medicaid and NC Health Choice programs.

Visit our Join Our Network page to join the AmeriHealth Caritas North Carolina provider network.