North Carolina’s Medicaid MCOs Begin Reimbursing For Non-Medical Services That Address Social Determinants Of Health

The state of North Carolina is providing $650 million in funding for the launch of a new Medicaid pilot program, Healthy Opportunities, which will reimburse social service provider organizations for interventions that address social determinants of health (SDOH) in Medicaid beneficiaries. The services will address housing, food, transportation, interpersonal safety, and toxic stress. Healthy Opportunities pilots will run in three regions (northeast, southeast, and west). The pilot will evaluate whether these services impact beneficiaries' overall health and health care costs.

The Health Opportunities pilot services will go live in a staged launch between March and June 2022. On March 15 . . .