Relevant Contact Points in North Carolina

The division-wide public complaint-intake channel for all DHSR-regulated facilities; adult-care-home complaints are forwarded to the local county Department of Social Services for investigation.

The licensing, survey, and enforcement authority for adult care homes (7 or more beds), family care homes (2 to 6 beds), and multi-unit assisted housing with services.

The licensing and survey authority for nursing homes and combination homes. The section receives about 3,000 nursing-home complaints per year, and surveys can result in a Statement of Deficiency requiring a facility plan of correction.

An Office of the State Long-Term Care Ombudsman plus 16 Offices of the Regional Long-Term Care Ombudsman, housed in Area Agencies on Aging, which help residents of nursing homes and adult care homes exercise their rights and resolve grievances, support Adult Care Home and Nursing Home Community Advisory Committees, and refer unresolved matters to the appropriate regulatory agency.

The Attorney General's unit investigating Medicaid provider fraud, physical abuse of Medicaid patients or any patient in a Medicaid-funded facility such as a nursing home, rest home, or state hospital, and theft or improper commingling of patients' funds in a Medicaid-funded facility. MID reports recovering over $1.2 billion for the Medicaid program and obtaining over 695 criminal convictions in fraud and abuse cases.

The file-a-consumer-complaint portal for medical-billing and medical-debt-collection complaints under the state's unfair and deceptive trade practices and debt collection laws, with a webform and general consumer hotlines.

The department's general public-facing entry point for insurance and licensee-related consumer assistance and complaints; the Commissioner of Insurance is the licensing authority for collection agencies.

The department's central contact hub, listing its physical and mailing address, regional offices, and contacts for public-records requests and media inquiries.

Provides free Medicare, Medigap, and long-term-care insurance counseling, with a county-by-county Find-a-SHIIP-Counselor locator.

Names the regulators responsible for specific health-insurance subject areas, with direct emails and phone numbers for each, plus the division's general contact.

The required company-contact intake form for long-term-care insurers' annual policyholder-demographic reports.

The entry point for Smart NC's health-insurance dispute-resolution services, with links to consumer services for claim denials, external review, mental health parity, and PBM or provider complaints.

The Board's public contact page, organized by department, distinct from its online complaint-intake form.

The state insurance regulator, including oversight of the medical-malpractice insurance line.