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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

To see if you qualify for the Healthy Opportunities Pilot Program, please fill out the form below or Call your Care Manager or Carolina Complete Health Member Services at 1-833-552-3876 (TTY 711).

You are unable to submit this form because the Healthy Opportunities Pilot Program is currently only available to members living in the following counties:

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

However, if you are still in need of care management, please call Carolina Complete Health Member Services at 1-833-552-3876 (TTY 711).

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).