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Details for Service Integrated Health Care Delivery Systems
Service Name Integrated Health Care Delivery Systems Program Name At-Risk Family Health and Safety Benefits
Goal Provide outreach, support and services to individuals and families identified as being at risk of compromised health and safety to eliminate or reduce those risks.
Objective Assure that families at risk of economic challenges receive health and safety benefits to mitigate those risks.
Division Central Management and Support - Office of Rural Health
Service Description
 Integrated Health Care Delivery Systems (IHCDS) funds creative local solutions to difficulties encountered in the financing and delivery of health care services for Medicaid recipients, the uninsured, and other vulnerable populations. IHCDS leverages existing infrastructure, including DHHS divisions, Community Care of North Carolina (CCNC), physicians, hospitals, health departments, community and rural health centers, communities, private philanthropies, and academia, to build and strengthen health systems that improve access and coverage; enhance quality, cost-effectiveness, and coordination of care; and contain unnecessary growth in healthcare expenditures through integration with the DHHS multi payer platform.
NC HealthNet initiative supports community efforts to provide organized and coordinated health care services to uninsured North Carolinians. Through HealthNet funding, patients get help with:
-Finding a primary care provider
-Getting access to specialty care and prescription medications
-Care for chronic medical conditions.
Effective SFY 2008, the HealthNet initiative supports the ongoing maintenance of community-based systems of care for the uninsured. This initiative links the volunteer spirit of community physicians, hospitals, health departments, rural and community health centers, and other safety net organizations with the administrative infrastructure of CCNC to provide low-income uninsured adults access to integrated health care services. HealthNet gains strengthen and help sustain communities' efforts to work collaboratively, share and conserve scarce resources, and find medical homes for the uninsured.
The Children's Health Insurance Program Reauthorization (CHIPRA)is a quality demonstration grant from the Centers for Medicare and Medicaid (CMS) that has been available since 1998.  This grant seeks to develop, evaluate, and inform a national perspective on child healthcare quality that includes care provided through Medicaid and CHIP as a well as a provider-based models project and an electronic health records (EHR) format project. Long term outcomes of this grant are:
-Improve data collection for children’s healthcare quality measures
-Incorporate new pediatric healthcare quality measures and assess their effect on accessibility and quality of Medical and CHIP services as well as transparency and consumer choice
-Evaluate effectiveness of new or expanded provider-based models to improve healthcare quality for children covered by Medicaid and CHIP, support collaboration across multiple payers and stakeholder groups, become cost-effective, and identify changes to improve healthcare delivery to children
-Implement and evaluate the pediatric HER format and assess its effect on the quality and cost of children’s healthcare.
The Chronic Pain Initiative/Project Lazarus (CPl) is another project of the ORHCC. Funding from the Kate B. Reynolds Charitable Trust, with Medicaid matching funds, addresses the rise in deaths by unintentional poisonings resulting from the use of opioid medications in the treatment of pain. Based on Project Lazarus, a successful pilot project in Wilkes County, CPI is a combined statewide effort of the state level partners, the CCNC networks, and Project Lazarus, Inc., as well as local coalitions of primary care and behavioral health providers, hospitals, education system personnel, law enforcement, and public health. CPI provides strategies and a series of toolkits to assist local medical providers address opioid misuse and abuse. The initiative addresses both the clinical issues related to prescribing opioid medications and the need for active community engagement. During SFY 2015, ORHCC secured funding from The Duke Endowment, along with Medicaid matching funds, to build upon the foundation of the CHIPRA initiative and support the statewide expansion of a successful local initiative. Fostering Health NC leverages the CCNC patient-centered medical home model of care and existing technology platforms to improve continuity of health information and coordination of care for the state’s foster children.


Web Site https://www.ncdhhs.gov/divisions/office-rural-health/office-rural-health-programs/analytics-and-innovations-program Year First Initiated 2018
Available State Wide Yes Geographic Area Served Alamance, Avery, Beaufort, Buncombe, Cabarrus, Caldwell, Caswell, Chatham, Davie, Durham, Edgecombe, Forsyth, Franklin, Gaston, Greene, Guilford, Henderson, Hyde, Iredell, Lincoln, McDowell, Mecklenburg, Mitchell, Montgomery, Moore, Nash, Orange, Pitt, Polk, Stokes, Transylvania, Tyrrell, Vance, Wake, Warren, Washington, Watauga, Wilkes, Wilson, Yancey counties
Grants Provided Yes Competitive Bidding Yes
Competitive Bidding Details Eligible contractors vary based on project needs and requirements. For the "Sustained Access to Healthcare Services Project" funding eligible applicants were safety-net organizations that were located in 35 Federal Emergency Management Agency (FEMA) identified counties affected by Hurricane Florence. The "North Carolina Community Health Worker Data Repository" was procured through a waiver in which a particular product (data repository) was funded. Funding is based on approved budgets and performance measures, both of which will vary depending on the requests for funding and service areas being supported.
Waiting List No Waiting List Start Date
Number Waiting
Waiting List Details

Income Eligibility
Income Eligibility Yes
Income Eligibility Method 200% Federal Poverty Level for adults
Income Eligibility Type Determined at the community level
Whose Income Eligibility Determined at the community level
Income Disregard No
Income Disregard Desc
Income Verified Yes
Income Verified Method Determined at the community level
Income Criteria Determined at the community level
Income Eligibility Change 7/1/2008
Income Eligibility Method Prior To Change Program was new in SFY 2008
Income Eligibility Other

Target Population
Age Range Start Age Range End
18 100+

Legal Authority
Authorization Level Authorization Type Citation
Not Applicable
Not Applicable

Budget Information
State Fiscal Year (SFY)
As of the month of
Authorized Budget Fiscal Year 2024 SFY 2023-2024 Year To Date Expenditures Balance
Salary and Fringes (1X) 0 0 0
Salary Other (1X) 0 0 0
Operating (2X-5X) 0 0 0
Contracts/Allocations (6X) 0 0 0
Reserves (7X) 0 0 0
Transfers (8X) 0 0 0
Total Requirements 0 0 0
Receipts-Federal 0 0 0
Receipts- Local receipts 0 0 0
Receipts- Other receipts 0 0 0
Total Receipts 0 0 0
General Fund Appropriations 0 0 0
State Local Other
0 0 0
State Local
0 0