Skip to Main Content

Information and Resources on Hurricane Helene:

Are you in North Carolina and need help because of Hurricane Helene? This website has helpful information. Visit the DPS website.

Instructions for Completing the PCP Assignment Changes Spreadsheet for Members Enrolled with WellCare of North Carolina

View more details about AMH/PCP Assignment.

PCP Assignment Overview


NOTE: If you do not know your practices PR Representative email, please email your information to: NCProviderRelations@WellCare.com.

Request to assign members into your practice

If your office notices your AMH/PCP is not listed on a member’s ID card or if the member asks for help changing their PCP to your practice, you have the following options.

  1. Let members know that they can call Member Services at 1-866-799-5318 to change their AMH/PCP
  2. Complete a copy of the PCP Change Request Form for Prepaid Health Plans (PHPs) (PDF), including the member's signature, and fax it to Fax the completed form to WellCare at 1-855-247-7480.
  3. For multiple members, complete the PCP Assignment Change Request Spreadsheet (xlsx) and email it to your Provider Relations Representative.
    • Complete all columns in the spreadsheet. Spreadsheets with incomplete data will NOT be processed.
    • Complete the attestation at the bottom of the spreadsheet.
    • Description of why member should be re-assigned can be date of last visit.

NOTE: AMH/PCP assignment is to the practice or group location, not an individual provider. It is NOT necessary to submit a PCP change for a member that is seeing a different individual provider at the same AMH/PCP practice location.

Request to assign members out of your practice

If you have members that you believe should not be assigned to your practice, such as if you have discharged the member from your practice or have evidence that a member has moved their care to another primary care practice, you have the following options.

For patients discharged from your practice, you can:

  1. Complete the transfer on the secure provider portal by choosing “Request Member Transfer” under “Select Action” when you have entered a member ID on the “Check Member Eligibility” page
  2. Fax the PCP Transfer Request Form (PDF)
  3. For requests for multiple members, AMH/PCP providers can email the PCP Assignment Change Request Spreadsheet (xlsx) with the required information to your Provider Relations Representative.
    • You do not need to complete columns with “NEW AMH” in header row.  All other columns need to be completed. Spreadsheets with incomplete data will NOT be processed.
    • Complete the attestation at the bottom of the spreadsheet.
    • Description of why member should be re-assigned can be “discharged from practice.”
    • Submit evidence of discharge, such as the discharge letter, with the spreadsheet.

For patients that have moved out-of-area or are seeing another PCP, you can:

Complete this PCP Assignment Change Request Spreadsheet (xlsx) and email it to your Provider Relations Representative.

  • Complete all columns in the spreadsheet. Spreadsheets with incomplete data will NOT be processed. We understand you may not have the new AMH/PCP information in all situations so that can be notated in the spreadsheet as “not available.”
  • Complete the attestation at the bottom of the spreadsheet.
  • Description of why the member should be re-assigned can be:
    • Member moved out-of-service area & provide the new address.
    • Member transferred to another AMH/PCP
  • Submit supporting documentation such as medical record transfer request or documentation of a discussion with the member in the patient’s medical record.

Important Notes

  • All AMH/PCP assignments are sent to the State for confirmation. Once WCNC receives State confirmation, the member will be notified with a new ID card, and the provider will be notified via fax or email.
  • The effective date of PCP Assignment will be the 1st of the following month when received on or before the 16th of the month. The effective date will be the 1st of the month following the next month if received after the 16th day of the month.
  • Per the State contract, Medicaid Beneficiaries can change their PCP up to two times a year. The members may change within 30 days of AMH assignment for any reason, and one additional time a year "without cause".