Healthy Opportunities Pilot HSO Network Application Opens Monday, September 20, 2021

As you may have heard, Community Care of the Lower Cape Fear (CCLCF) was one of three awardees from across North Carolina for the Healthy Opportunities Pilot (HOP), an innovative Medicaid program sponsored by the North Carolina Department of Health and Human Services. The Center for Medicaid Services (CMS) authorized up to $650 million in state and federal funding to test evidence-based, non-medical interventions designed to improve health outcomes and reduce healthcare costs for a subset of Medicaid enrollees. CCLCF applied for this grant in 2019 with the support of New Hanover Regional Medical Center, Cape Fear Collective, and the University of North Carolina at Wilmington. This program will have a regional footprint that includes New Hanover, Pender, Brunswick, Columbus, Bladen, and Onslow Counties.

HOP allows for nonprofits/human service organizations to become providers for 29 approved services across 4 sector areas including food, transportation, housing and interpersonal safety that will be Medicaid reimbursable for the duration of the pilot program, slated to end in 2024 with possible extension through 2026. The program also includes funding for capacity building for nonprofits to expand their current services to participate in the program, with up to $7.7 million available for distribution. Organizations that currently work in the sectors and counties that are in the scope of this Pilot are encouraged to apply. 

To apply, please follow the steps below:

  1. Please email to receive the “NC Pilot Services Fee Schedule” for a complete description of the services, reimbursement rates, and qualifications. You will also receive a link to a recorded webinar and slides entitled “HOP Information Session Slides June 2021”.
  2. Once you have reviewed all materials would like to apply, please contact the Cape Fear HOP implementation team at this LINK or email Meagan Lewis at for the application link. The application period begins September 20th and closes midnight October 12th, 2021.