Interested in learning if you are eligible for the Healthy Opportunities Pilot program? The information below can help.

Am I Eligible

To be eligible for the Healthy Opportunities Pilot program an individual must have Medicaid AND be a Medicaid Managed Care Member. If you meet both of these criteria, please contact Member Services on the back of your insurance card.  The Prepaid Health Plan will assess to see if you meet the necessary criteria listed below and inform you of the next steps.  When contacting Member services inform them you are calling to speak with someone about receiving services through the Healthy Opportunities Pilot Program. Please use the chart below to access the correct number for your Prepaid Health Plan.

AmeriHealth Caritas
855-375-8811
Healthy Blue
844-594-5070
United Healthcare
800-349-1855
WellCare of NC
866-799-5318

Eligibility Requirements

1
Client must have at least One Physical or Behavioral Health Condition
Adults
(e.g., 2 or more chronic conditions)
Pregnant Women
(e.g., multifetal gestation)
Children, ages 0-3
(e.g., Neonatal intensive care unit)
Children 0-21
(e.g., Experiencing 3 or more categories of)
2
At least One
Social Risk Factor
Homeless/housing insecurity
Food Insecure
Transportation Insecure
3
Must live in one of
the following Pilot Regions
Beaufort
Bertie
Chowan
Edgecombe
Halifax
Hertford
Martin
Northampton
Pitt