MTW Health Department meeting abut regional medicaid healthy opportunities grant

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The Martin-Tyrrell-Washington Health District and Eastern Health Stewards will hold an informational session Monday at 6:00 p.m. at the Martin County Cooperative Extension Office.

In October 2018, the federal Centers for Medicare & Medicaid Services (CMS) approved North Carolina’s 1115 waiver for a five-year demonstration period.

The waiver provides the North Carolina Department of Health and Human Services (DHHS) authority to transition its fee-for-service delivery system to a managed care program and, as part of the transition, important flexibility to implement a groundbreaking pilot program in select regions to promote value through evidence-based interventions designed to address non-medical factors that drive health outcomes and costs.

The “Healthy Opportunities” pilots test and evaluate the impact of providing select evidence-based, non-medical interventions related to housing, food, transportation and interpersonal safety to high-needs Medicaid enrollees.

There will be up to 4 awards made in the first year, sharing a pot of approximately $130 million dollars.

The total allocation for the Healthy Opportunities pilots over the next five years is $650 million.

As a reminder, there are six Medicaid Regions in North Carolina, and there can only be one project awarded in a specific region.

Region VI is planning to apply for the pilot and implement the program in the following counties in Year 1: Martin, Pitt, Edgecombe, Beaufort, Bertie, Chowan, and Hertford.

The information sessions being held in each of these counties is the beginning of the planning process for grant submission, which is due in summer 2019.

Representatives of the following sectors are encouraged to attend: Healthcare, Employment, Food Assistance, Interpersonal Violence, and Transportation.

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