N.C. State Health Plan Network

The State Health Plan (Plan) would like to extend its sincere gratitude to the organizations that have supported the Clear Pricing Project (CPP) by being a part of the N.C. State Health Plan Network. 

The Plan is no longer accepting CPP applications for 2025. At this time there are no plans to offer an enrollment window this year for new CPP providers to join. 

The Plan transitioned to Aetna, its new third-party administrator effective Jan. 1, 2025. As such, providers will need to be in-network with Aetna in order to see State Health Plan members on an in-network basis. If you are not currently in network with Aetna, click here to start that process. Providers will no longer be able to join CPP through the onboarding process as CPP is closed for 2025. 

If you have questions regarding your contract with Aetna, reimbursement rates, your application, medical policies or benefits, please call Aetna's Provider line at 888-632-3862. 

To contact the State Health Plan office email SHPProviderNetwork@nctreasurer.com.

Prior Authorization Provider Information 
Certain services require prior review and certification before they can be covered. Providers can visit the links below for more information. 

Clinical Information
Precertification Information 

For additional questions for Aetna, providers can email NorthCarolinaNetwork@aetna.com.