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Details for Service Health Choice Program
Service Name Health Choice Program 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 Division of Health Benefits
Service Description
North Carolina Health Choice (NCHC) for Children is a free or reduced price comprehensive health care program for children. The goal of the NCHC Program is to reduce the number of uninsured children in the State to ensure that the population served will be healthy and ready to learn and work.
NCHC covers hospitalization and outpatient care including the following:

-         Physician and clinic services

-          Laboratory and radiology services

-          Surgical services

-          Prescription drugs

-          Dental services

-          Vision

-          Hearing

-          Durable medical equipment and supplies such as wheelchairs

-          Physical therapy, occupational therapy and therapy for individuals with speech, hearing and language disorders

-          Hospice care

-          Home health care (limited)

-          Inpatient mental health services (requires precertification)

-          Outpatient mental health services (requires precertification after 26 outpatient visits per year)

-          Inpatient substance abuse treatment and outpatient substance abuse treatment (requires precertification)

-          Special needs children with chronic mental or physical conditions or illness may receive services beyond those listed above if the services are medically necessary (requires precertification)
Web Site http://www.ncdhhs.gov/dma/healthchoice/index.htm Year First Initiated 2000
Available State Wide Yes Geographic Area Served
Grants Provided No Competitive Bidding No
Competitive Bidding Details
Waiting List No Waiting List Start Date
Number Waiting
Waiting List Details

Income Eligibility
Income Eligibility Yes
Income Eligibility Method Families with income up to 150% may be eligible for Health Choice. If monthly income is above the 150% federal poverty level, there is an enrollment fee of $50 for one child or $100 for two or more children. If monthly income is at or below the 150% federal poverty level, there is no enrollment fee.
Income Eligibility Type Earned income such as: wages, self-employment Unearned income such as: RSDI, unemployment, VA, retirement, child/spousal support, worker's compensation, etc.
Whose Income Eligibility Individual on the Health Choice case + financially responsible individuals in the home - (Parent for child under age 21 or spouse).
Income Disregard Yes
Income Disregard Desc There may be income disregards; the local department of social services staff can help families determine if some income sources can be disregarded.
Income Verified Yes
Income Verified Method Electronic match with ESC, SSA, wage stubs, verification from source of income, such as VA, employer, award letter, self-employment records
Income Criteria The federal poverty level is used as the criteria for determining eligibility.
Income Eligibility Change 1/1/2000
Income Eligibility Method Prior To Change The income eligibilty method has not changed since the Health Choice program began.
Income Eligibility Other

Target Population
Age Range Start Age Range End

Legal Authority
Authorization Level Authorization Type Citation
Federal Public Law Title XXI of the Social Security Act

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
Match
State Local Other
0 0 0
 
MOE
State Local
0 0
 
FTEs
0.00
Please be advised that data is updated frequently. It is recommended to return to this site to get the most recent information.