Healthy Opportunities Pilots are an innovative way the North Carolina Department of Health and Human Services (NCDHHS) is improving the health and well-being of North Carolinians with an innovative, well-coordinated system of care that addresses both the medical and non-medical drivers of health.
Healthy Opportunities is a groundbreaking pilot program that will work in conjunction with the state’s transition to NC Medicaid Managed Care to test and evaluate the use of Medicaid to pay for a select set of evidence-based interventions designed to address non-medical factors that drive health outcomes and costs.
Effective today, March 15, 2022, qualifying Medicaid Standard Plan members in 33 North Carolina counties may receive food services. Examples of food services include:
- Food and nutrition access case management
- Group nutrition classes and Diabetes Prevention Program
- Fruit and vegetable prescriptions and healthy food boxes/meals
- Medically tailored meal delivery
To be eligible for and receive Pilot services, NC Medicaid Managed Care members must live in a Pilot region (in one of the counties listed below) and have at least one qualifying physical or behavioral health condition and one qualifying social risk factor, as defined by the Department. For more information, please see frequently asked questions.
Network leads are:
- Access East, Inc.: Beaufort, Bertie, Chowan, Edgecombe, Halifax, Hertford, Martin, Northampton, Pitt
- Community Care of the Lower Cape Fear: Bladen, Brunswick, Columbus, New Hanover, Onslow, Pender
- Dogwood Health Trust: Avery, Buncombe, Burke, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Yancey
Those interested in pilot services should contact their health plan or care manager. For more information, please visit the Healthy Opportunities Pilots webpage.
NC Medicaid Contact Center: 888-245-0179.