Cape Fear HOP
The Healthy Opportunities Pilot (HOP) is the nation’s first comprehensive program to test and evaluate the impact of providing select evidence-based, non-medical interventions related to housing, food, transportation and interpersonal safety and toxic stress to Medicaid Managed Care enrollees.
As much as 80% of a person’s health is determined by social and environmental factors and the behaviors that emerge as a result.
Healthy Opportunities Pilots Update – June 2, 2025
At present, proposed House and Senate budgets put forward by the North Carolina General Assembly do not include funding for the Healthy Opportunities Pilots program’s ongoing operations or statewide scaling. The 2025 -2027 Biennial State Budget is under active negotiations in the North Carolina General Assembly. The outcome of these negotiations could change projected Healthy Opportunities Pilots service delivery funding allocation. However, at this time, the absence of available funding means that there is no funding scheduled for distribution to health plans for HOP service delivery beginning July 1, 2025. While new services are expected to stop beginning July 1, our hope is that this will only be a pause, and Healthy Opportunities can resume once additional funds are appropriated by the General Assembly.