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With the passage of the budget, Medicaid Expansion is launching December 1st, 2023. More information about Medicaid Expansion can be found here.

Healthy Opportunities

What is the Healthy Opportunities Pilot?

A Federally Funded Pilot Program that provides eligible members non-medical services NOT covered by Medicaid. The goal is to address social needs to improve the health and well-being of our members. This pilot program is only available in select counties in North Carolina and will be evaluated to see if it should be expanded in the future.

The Healthy Opportunities Pilot Program is set to launch February 1, 2024.

What Pilot Services are Included?

Services address housing, interpersonal safety, food and transportation. Examples of services are:

  • Safety inspections and improvements
  • Move-in services and essential utility set-up
  • One-time payment for security deposit and first month’s rent
  • Short-term post-hospitalization housing
  • Healthy Home Goods
  • Nutrition Classes
  • Healthy Food Box (Pickup/Delivered)
  • Home Delivered Meals
  • Fruit and Vegetable Prescriptions
  • Medically Tailored Meals (Pickup/Delivered)
  • Interventions for Interpersonal Safety or Toxic Stress
  • Parenting Classes
  • Health-Related Transportation
  • Medical Respite
  • Health-Related Legal Support

How Do I Qualify for Healthy Opportunities Services?

HOP Rights and Responsibilities FINAL_Page_1

Member Rights and Responsibilities (PDF)
English

To qualify and receive Pilot services, members must:

  • Have Medicaid
  • Live in the Partners Pilot Region
    • Burke County
    • Rutherford County

To qualify and receive Pilot services, members must have:

  • At least one qualifying physical or behavioral health condition
    • Adults with two or more chronic conditions, such as mental illness, intellectual/developmental disabilities, traumatic brain injury, diabetes, high blood pressure.
    • Pregnant women with risk for complicated pregnancy, such as low birth weight or high blood pressure.
    • Children, ages 0-3, who have been in a neonatal intensive care unit
    • Children, ages 0-20, experiencing three or more adverse childhood events, such as growing up in an environment that can affect their sense of safety, stability, and bonding.

AND

  • At least one qualifying social risk factor
    • Homeless or Housing insecure
    • Food Insecure
    • Transportation Insecure
    • Experiencing Interpersonal Safety Concerns

Am I Eligible?

A care manager will evaluate your individual needs to determine eligibility for the Healthy Opportunities Pilot Program. Program eligibility is determined by pilot criteria and exclusions may apply.

If you have questions or want to learn more about the program, please contact your care manager, visit PartnersCONNECT member portal or contact PartnersACCESS at 1-888-235-4673.

Updated: September 18, 2023

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