Join AmeriHealth Caritas Next Today
Beginning January 1, 2022, AmeriHealth Caritas Next will be available on the North Carolina Health Insurance Marketplace for residents of selected North Carolina counties. Participating in the Health Insurance Marketplace 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. We aim to continue to be there for members as they transition out of Medicaid and are able to gain coverage through the North Carolina Health Insurance Marketplace.
We are currently developing a network of hospital, physical, ancillary, and behavioral health care providers, and we want to partner with dedicated providers like you.
How to Join
If you have any questions, contact our Provider Network Management team at 1-833-697-2262.
Data Intake Forms
Please complete and return the appropriate Data Intake and credentialing forms to start the contracting process with AmeriHealth Caritas Next:
- Ancillary Data Intake Form (PDF).
- Behavioral Health Data Intake Form (PDF).
- Facility Data Intake Form (PDF).
- Practitioner Data Intake Form (PDF).
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 complete the application and other documentation applicable to your provider type and return it to the email or mailing address listed below:
- Practitioner Credentialing Checklist (PDF).
- North Carolina Practitioner Application (PDF).
- North Carolina State Attestation (PDF).
- Organizational Provider/LTSS/HCBS Credentialing checklist (PDF).
- Organizational Provider Credentialing Application (PDF).
- Ownership and Control Disclosure Form (PDF).
If you have any questions regarding credentialing, please contact our Credentialing department at 1-833-582-2262 or email us at firstname.lastname@example.org
Send us your completed forms through the method most convenient to you:
- Email: Return your forms to your Account Executive or to Provider Enrollment at ProviderEnrollmentNCEX@amerihealthcaritas.com.
- Fax: 1-267-298-2423.
Re: AmeriHealth Caritas Next
P.O. Box 406
Essington, PA 19029-0406
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.