Updated Member Materials

Cardinal Innovations — October 07, 2021
If you or your family member receive Medicaid or State-funded services for IDD, mental health, and/or substance use disorders, and you live in one of the counties we are currently serving in North Carolina, then you are a member of Cardinal Innovations Healthcare.

On our website, you can find out more about how we can help and what your rights and responsibilities are as a member by reviewing the following member materials:

Member & Family Handbook (Spanish version coming soon) Member & Family Handbook
This handbook is intended to inform members and their family members on how they can receive help through Cardinal Innovations. It will cover a variety of topics related to our services, providers, and organization to answer questions and guide members through different processes, including:
  • Benefits and requirements of our health plan
  • Service options
  • Service eligibility
  • Coordination of care
  • Filing an appeal
  • Reporting fraud and abuse

State-Funded Services Guide (Spanish version coming soon) State-Funded Services Guide
This guide is intended to fully explain state-funded services and provide information that will help members access these services for mental health, intellectual and developmental disabilities, and substance use disorder needs. Topics that will be addressed include:
  • Description of services
  • Medical necessity
  • Waitlist
  • Member rights and responsibilities

Appeal Rights and Process (Spanish version coming soon) Appeal Rights Process
This document is intended to explain the appeals process and the rights that members have. It outlines the steps you need to take to file an appeal and the deadlines to follow. It also includes who you can contact if you need assistance or have more questions.

If you would like a printed copy of any of these documents, email memberquestions@cardinalinnovations.org or call 1-800-939-5911.

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