Care Management for At-Risk Children (CMARC)

The Medicaid program currently offers a set of care management services for at-risk children ages zero-to-five. The program coordinates services between health care providers, community programs and supports and family support programs. Care Management for At-Risk Children (CMARC) is provided by the local health departments.

Programmatic Guidance

The Program Guidance is used to assist Health Plans with providing additional resources that may be beneficial in managing CMARC programs.

• CMHRP CMARC Benchmark Specifications - April 4, 2024
• Program Guide: Management of High-Risk Pregnancies in Tailored Plan - April 3, 2024
• Program Guide for Care Management of High-Risk Pregnancies and At-Risk Children in Managed Care - April 3, 2024
• Summary of Changes - October 2023
• Program Update for CMHRP and CMARC Programs - July 13, 2023
• Guidance for LHDs Interested in Contracting to Participate in the Healthy Opportunities Pilot - Aug. 16, 2023
• Data Sharing Specification Requirements for CMARC-CMHRP - Oct. 23, 2024
• Healthy Opportunities Pilot Program Guide for LHDs - Dec. 8, 2022
  • Local Health Department Manual Healthy Opportunities Pilot Standard Terms and Conditions
• Companion Guide for Care Management Service Termination and Transfer of Service Process - Jan. 9, 2024

Forms

• CMARC Referral and Supervisor Directory - July 2025
• CMHRP/CMARC Program Request for Termination and Transfer of Services - May 29, 2025
• CMARC Referral Form

Frequently Asked Questions

• CMHRP CMARC Benchmark Specifications FAQs - March 27, 2024
• NC Medicaid Managed Care Transformation: A Fact Sheet for CMARC and CMHRP Providers - April 2, 2024

Additional Information

• North Carolina’s Care Management Strategy Under Managed Care