Healthy Opportunities Pilot Services: Member Rights and Responsibilities
Healthy Opportunities Pilots Service Stop Effective July 1, or after June 30, 2025.
Due to a lack of funding currently available in the North Carolina General Assembly’s Senate or House budget bills, the state is stopping 1.) All new service authorizations and 2.) existing service delivery for all Healthy Opportunities Pilots services until further notice. This means that services provided under the Healthy Opportunities Pilots program will no longer be available after this date, including for individuals currently receiving services. Specifically:
- No new Healthy Opportunities Pilots services will be authorized after June 30, 2025
- Existing Healthy Opportunities Pilots services will no longer be delivered after June 30, 2025
- Other Medicaid benefits and services will not be affected by this change
Our member services team is available to answer your questions and provide guidance on available alternatives. You can contact us by phone at 888-860-1605. Individuals are also encouraged to contact their health plan Member Services at 866-799-5318.
While services will stop by 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.