Skip to Main Content

Healthy Opportunities Pilot Program

What is the Healthy Opportunities Pilot Program?

The Healthy Opportunities Pilot is a new federally-funded program to help improve the overall health of Medicaid beneficiaries. The goal is to help people who are struggling with housing stability, food security, transportation, and safety.

In North Carolina, the Department of Health and Human Services (DHHS) is implementing this program as a pilot in select counties.

How Do I Qualify?

Your Care Management Team will evaluate members' needs to determine if they are eligible for the Healthy Opportunities Pilot.

To qualify for the Healthy Opportunities Pilot program, members must:

One    Be enrolled in Carolina Complete Health

two    Live in one of these Pilot regions:

  • Bladen County
  • Brunswick County
  • Columbus County
  • New Hanover County
  • Pender County

Map of counties. Information precedes image.  

three    Have at least one qualifying physical/behavioral health risk such as:

  • Adults with two or more chronic conditions
  • Pregnant women at high-risk or with complications such as twins, triplets
  • Children age 0-3 years that were in the neonatal intensive care unit
  • Children age 0-21 years that have or are experiencing three or more adverse childhood experiences

four    Have at least one qualifying social risk factor:

  • Homelessness and/or housing insecurity
  • Food insecurity
  • Lack of transportation
  • Experiencing Toxic Stress

Call your Care Manager or contact Member Services at 1-833-552-3876 to see if you qualify for the Carolina Complete Health Healthy Opportunities Pilot Program.