Member Advisory Committees

Participating in the Member Advisory Committees

Our Member Advisory Committee and Long-Term Services and Supports (LTSS) Member Advisory Committee will meet four times each year. During meetings, members or their representatives are invited to let us know what is working and what we can do better. We will use member feedback to improve our health plan.

There are opportunities to attend these meetings without traveling.
We can help you arrange transportation to the meetings.
Each meeting will be held within your region.
Meetings will be scheduled during non-work hours.
Language assistance can be provided.

If you are interested in learning more, please call Member Services at 1-833-552-3876 (TTY: 711) or fill out the form below.

Committee Interest Form

Name of Member *

Member ID Number (found on your Carolina Complete Health Member ID Card) *

Name of person filling out this form (Must be Parent or Legal Guardian of Member)

Phone Number *

Email Address *

Member Address *

City *

Zip Code *

What Region Are You Located? *

Region 3: Alexander, Anson, Cabarrus, Catawba, Cleveland, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, Stanly, and Union counties. Region 4: Alamance, Caswell, Chatham, Durham, Franklin, Granville, Johnston, Nash, Orange, Person, Vance, Wake, Warren, and Wilson counties. Region 5: Bladen, Brunswick, Columbus, Cumberland, Harnett, Hoke, Lee, Montgomery, Moore, New Hanover, Pender, Richmond, Robeson, Sampson, and Scotland counties.

Preferred Method of Contact (Please select all that apply) *

Phone Email Text

Available Technology/What do you own? (Select all that apply) *

Computer Smartphone Standard Cell Phone with Texting Basic Cell Phone with NO Texting

Do you need any special accommodations? (such as: a language interpreter, etc.)

This form will send your message to Carolina Complete Health as an email. The email is not encrypted and is not transmitted in a secured format. By communicating with Carolina Complete Health through email, you accept associated risks. Carolina Complete Health does not accept responsibility or liability for any loss or damage arising from the use of email. To ensure the safety of your PHI, please send us a message through the Secure Member portal.

If you need assistance filling out this form, please call Member Services at 1-833-552-3876 (TTY 711).