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Impact Health supports a robust network of human service organizations (HSOs) that provide housing, transportation, food and/or interpersonal safety services to eligible NC Medicaid Managed Care members enrolled in the Healthy Opportunities Pilot.
To be eligible for pilot services, individuals must
North Carolina’s 18 westernmost counties, identified in this map, make up one of the three pilot regions. You can learn more about NC Medicaid Managed Care health plans here.
Pilot Eligibility: Physical/Behavioral Health Criteria.
NC Medicaid Managed Care members must meet at least one physical/behavioral health criteria and one social risk factor to be eligible for the Pilot program.
Needs-Based Criteria (at least one, per eligibility category)
|Homelessness and housing insecurity||Homelessness, as defined in 42 C.F.R. § 254b(h)(5)(A), or housing insecurity, as defined based on the principles in the questions used to establish housing insecurity in the Accountable Health Communities Health Related Screening Tool or the North Carolina Social Determinants of Health (SDOH) screening tool.1,2</sup|
|Food insecure||As defined by the US Department of Agriculture commissioned report on Food Insecurity in America:3
|Transportation insecure||Defined based on the principles in the questions used to establish transportation insecurities in the Accountable Health Communities Health Related Screening Tool or the North Carolina SDOH screening tool.5|
|At risk of, witnessing or experiencing interpersonal violence||Defined based on the principles in the questions used to establish interpersonal violence in the Accountable Health Communities Health Related Screening Tool or the North Carolina SDOH screening tool.6|
1 The Accountable Health Communities Health-Related Social Needs Screening Tool. Available https://innovation.cms.gov/files/worksheets/ahcm-screeningtool.pdf.
2 North Carolina’s SDOH Screening Questions. Available:
3 USDA Economic Research Service [Internet]. Washington: USDA Economic Research Service; [updated 2017 Nov 27]. Definitions of Food Insecurity; [updated 2017 Oct 4; cited 2017 Nov 27]. Available from: https://www.ers.usda.gov/topics/food nutrition-assistance/food-security-in-the-us/definitions-of-food-security/
4 North Carolina SDOH Screening Tool. Available: https://www.ncdhhs.gov/about/department-initiatives/healthy opportunities/screening-questions