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Room-to-Breathe Asthma Program


Asthma can't be cured, but with proper care it can be controlled. The Room-to-Breathe asthma program can significantly improve children’s control of their asthma, decreasing admissions to the hospital, emergency room visits and frequency of aggravations. This care management program includes home visits, home assessment, asthma supplies, and education for Carolina Complete Health members ages 16 and under. To get this Value-Added Service, please fill out the form below.

Eligibility Statement: Eligibility requirements apply based on Care Management team health risk assessment.

Note: Please allow a minimum of 14 days for review and processing of your request.  If you need immediate support, please call us at 1-833-552-3876 (TTY 711).


ROOM TO BREATHE PROGRAM FORM

To get started with the Room to Breathe Asthma Program, please select all that apply from the list below.*

If your child is experiencing an asthma-related medical emergency, please dial 911.

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