Get Ready for the North Carolina State Health Plan Transition to Aetna®

2024 Alliance sponsor feature article courtesy of Aetna, a CVS Health Company

Aetna will be the new third-party administrator for the North Carolina State Health Plan beginning January 1, 2025. Open enrollment begins September 30, 2024, and ends October 25, 2024, which is when members will select a primary care provider (PCP).

What You Can Do Now to Get Ready

Step 1: Join the Aetna Network
Not currently in the Aetna network? We’re excited to have you join us. We’ll walk you through the steps to request participation with us. Visit Go.Aetna.com/joinournetwork to get started today.

Step 2: Join the Clear Pricing Project (CPP)
Already part of the Aetna network? You can join the Clear Pricing Project (CPP) now until May 31, 2024. Or, if you’re a current CPP provider, you’ll need to re-enroll in the CPP with Aetna to continue as a CPP provider. You only need to join the CPP once for your tax ID number (TIN). All providers practicing under that TIN will be part of the CPP.

Stay informed
Visit Go.Aetna.com/ncshp to see additional ways you can get ready for the North Carolina State Health Plan transition to Aetna.

Need help?
Send an email to the Aetna Network Management staff at NorthCarolinaNetwork@aetna.com or call 1-800-353 1232 (TTY: 711) during normal business hours.

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