Healthy Opportunities of the Piedmont

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Piedmont Health Collaborative Meeting - October 17, 2018

North Carolina’s Medicaid program is transitioning from fee-for-service payment model to Medicaid Managed Care in 2019, which is the most significant change to the NC program in over 40 years. Four statewide Managed Care plans will provide coverage for Medicaid beneficiaries.

In preparation for this transition, a Piedmont collaboration invited Dr. Betsey Tilson, North Carolina's State Health Director and DHHS's Chief Medical Officer, to Kernersville to speak about NC’s transformation to Medicaid Managed Care and proposed regional pilots. Providers of human services, health systems and others from across the Piedmont attended Dr. Tilson’s presentation and agreed to collaborate to address social drivers of health (called Healthy Opportunities) and apply to be one of the Medicaid regional pilots.

Under Medicaid’s transformation, 2-4 regional pilots will be chosen to deliver health services that address both medical and social needs of patients. These Pilots must address four categories of Healthy Opportunities: Housing, Transportation, Nutrition and Interpersonal Violence/Toxic Stress.  Pilots will include a Lead Pilot Entity to serve as a backbone organization for the pilot initiative. Pilots should cumulatively serve 25,000-50,000 Medicaid beneficiaries and cover both urban and rural communities.

View North Carolina's State Health Director and DHHS's Chief Medical Officer, Dr. Betsy Tilson's October 18, 2018 PowerPoint presented at the NCIOM ACC Task Force meeting the following day.

A Second meeting was held November 1, 2018 and determined:

  • Healthy Opportunities of the Piedmont will be the name of our region’s pilot proposa.
  • Piedmont Triad Regional Council should serve as the Lead Pilot Entity as determined by the stakeholders.
  • The Piedmont counties of Forsyth, Guilford and Rockingham were chosen as the initial counties in which Healthy Opportunities of the Piedmont will operate.

Healthy Opportunities of the Piedmont Meeting Announcement - November 1, 2018

Regional Pilot discussion - November 1, 2018


Healthy Opportunities of the Piedmont Meeting - November 27, 2018

Healthy Opportunities of the Piedmont Meeting Announcement - November 27, 2018

Initial Pilot Area

Case Management Pilot Eligibility and Risk Factors

Risk Factor 1 - Housing Breakout Notes

Risk Factor 2 - Nutrition Breakout Notes

Risk Factor 3 - Transportation Breakout Notes

Risk Factor 4 - Interpersonal Viiolence Breakout Notes



Healthy Opportunities of the Piedmont Meeting - December 18, 2018

Healthy Opportunities of the Piedmont Meeting Announcement - December 18, 2018

Roles and Responsibilities


Piedmont Health Collaborative Meeting - January 22, 2018 at 3:00pm at PTRC

Healthy Opportunities of the Piedmont Meeting Announcement -January 22, 2019

 Agencies and Stakeholders Represented 

AARP Montgomery Council on Aging
ADRP-Triad NC School Based Healh Aliance
ADTS of Rockingham NC State Government
Advanced Home Care Northwest AHEC
Alamance Eldercare Novant Health
Cardinal CFAC Optima Health
Cardinal Innovations Piedmont Triad Regional Council
Community Housing Solutions Premier Home Health Care
Cone Health - ARMC Randolph Health
Davidson Co. Senior Services Randolph Hospital
Davidson Medical Ministries Rockingham County Government
Emtiro Health Safety Net Health
Enrichment Center Second Harvest
Family Services Senior Resources of Guilford
FJC/Elder Abuse Senior Services, Inc.
Forsyth County DSS Share-A-Home
Forsyth County Government Shepherd's Center of Winston-Salem
Forsyth Futures Surry County Health and Nutrition
Friendship Adult Care The Adaptables
Goodwill Industries Greensboro Housing Coalition
Greensboro AHEC United Way of Greater Greensboro
Greensboro Housing Authority Wake Forest Baptist - Health
Guilford County DSS Well-Spring Solutions
Health Care Access Winston-Salem Transit Authority
Imagine Forsyth Yadkin Valley Economic Development District, Inc.