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NC DHHS Announces Medicaid Healthy Opportunities Pilot for Western North Carolina, Names Dogwood Health Trust Healthy Opportunities Network Lead

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Innovative pilot project expected to infuse tens of millions of dollars into the region.

Asheville, N.C. –   NC Department of Health and Human Services (NC DHHS) has named Dogwood Health Trust (DHT) the Healthy Opportunities Network Lead for its Healthy Opportunities Pilot in Western North Carolina. Western North Carolina was selected from several applicant groups as one of only three Healthy Opportunities Pilot sites across the state. This pilot will bring tens of millions of dollars into the region with the potential for much more in funding, along with more than $10 million in additional investment from Dogwood Health Trust. 

In its role as the Healthy Opportunities Network Lead (formerly referred to as Lead Pilot Entity), Dogwood Health Trust will establish, manage and oversee a consortium of human services organizations (HSOs) and providers across all 18 WNC counties and the Qualla Boundary.

According to NC DHHS, the Healthy Opportunities Pilot marks a “major milestone towards launching the nation’s first comprehensive program to test evidence-based, non-medical interventions designed to reduce costs and improve the health of Medicaid beneficiaries. The groundbreaking program will create a systematic approach to integrating and financing non-medical services that address housing stability, transportation access, food security and interpersonal safety into the delivery of health care.”

Healthy Opportunities allows human services organizations that address these unmet needs to receive Medicaid reimbursement for services provided. To be eligible for and receive pilot services, NC Medicaid Managed Care members must live in one of the three selected regions, have at least one qualifying physical or behavioral health condition, and have one qualifying social risk factor.

“Clearly, clinical measures alone are not enough to address the unmet needs of people in our region that are struggling with housing, transportation, interpersonal violence, and food insecurity,” said Dr. Susan Mims, Interim CEO of Dogwood Health Trust. “Dogwood Health Trust is delighted that the state values the importance of addressing social determinants of health, and that they have selected our region as a participant in this innovative pilot program. The goals of Healthy Opportunities are absolutely aligned with the strategic priorities of Dogwood Health Trust, and we are looking forward to working with our partners to stand up a pioneering new system for supporting the health and wellbeing of Western North Carolinians.”

Mims emphasized that more than 100 organizations working to address issues of food insecurity, transportation, housing and interpersonal violence across Western North Carolina joined forces with Dogwood to put a strong application together. “Congratulations and appreciation are in order to the organizations doing this work every day in our region; your efforts have paid off.”

Dogwood Health Trust and the consortium of HSOs submitted their application to NC DHHS in February 2020 – just before COVID arrived in North Carolina. As a result of the impact of COVID-19 on health care and human service providers, NC DHHS suspended the evaluation of Healthy Opportunities applications in May 2020 and recently resumed the evaluation process in January 2021.  “Despite the setbacks of COVID-19, we all are eager to get started with this work,” said Brian Myers, vice-president of Impact for Dogwood Health Trust. Myers led the application process for Dogwood Health Trust and the region.

Dogwood Health Trust anticipates receiving more specific information about timing and pilot protocols from NC DHHS in the near future. “Over the coming weeks and months, our team will be working with our partners and NCDHHS to create the scaffolding and infrastructure that will be needed to engage fully in the work of Healthy Opportunities,” said Mims. “We look forward to sharing more updates as they become available.”

About Dogwood Health Trust

Dogwood Health Trust is a private foundation based in Asheville, North Carolina with the sole purpose of dramatically improving the health and well-being of all people and communities of 18 counties and the Qualla Boundary in Western North Carolina. Dogwood Health Trust was created from the net proceeds of the sale of Mission Hospital System and focuses on innovative and equitable ways to address the many factors that contribute to overall health and wellness, with a focus on housing, education, economic opportunity, and access to care and health resources. Dogwood Health Trust works to create a Western North Carolina where every generation can live, learn, earn and thrive, with dignity and opportunity for all, no exceptions. To learn more, please visit www.dht.org.

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Health & Wellness | Goal 4

Increase Access to Behavioral Health and Substance Use Prevention and Treatment

Support programs and networks that reduce deaths, treat addiction, and prevent first use

Objective 4.1: Reduce opioid overdose mortality throughout the region

Objective 4.2: Reduce untreated behavioral health and substance use disorder in disproportionately affected communities

Objective 4.3: Prevent and reduce behavioral health issues and substance use (tobacco, alcohol, illicit and prescription drugs) in youth

Health & Wellness | Goal 3

Address Health Disparities

Help reduce disparities based on race, location, education and income factors

Objective 3.1: Improve health outcomes for women and infants in rural and low-income communities and communities of color

Objective 3.2: Reduce the prevalence of common chronic health diseases in disproportionately affected communities

Objective 3.3: Increase effectiveness of health care through delivery of culturally aligned services

Health & Wellness | Goal 2

Increase Access to Whole-Person Health Care

Invest in integrated heath care with seamless connections to supportive services

Objective 2.1: Increase the number of people with affordable health insurance coverage

Objective 2.2: Increase the available workforce for primary and allied health care services

Objective 2.3: Increase access to comprehensive and integrated care

Objective 2.4: Increase access to community-based services in low-income, elderly and rural communities

Health & Wellness | Goal 1

Support and Build Healthy Communities

Support communities that promote healthy living and resiliency and help mitigate the impact of trauma, isolation and stress on individuals and families, especially those experiencing poverty

Objective 1.1: Decrease adverse experiences (ACEs and traumatic violence) and improve individual and family resiliency

Objective 1.2: Increase access to community environments that promote healthy living and social connectedness across the age continuum

Economic Opportunity | Goal 4

Foster Entrepreneurship

Support a well-funded, sustainable, competitive entrepreneur and small business ecosystem throughout the region

Objective 4.1: Increase the number of Person of Color (POC)-led small businesses throughout the region

Objective 4.2: Increase the number of rural small businesses throughout the region

Economic Opportunity | Goal 3

Build Economic Ecosystems

Help build a regional economic ecosystem that supports increased creation/retention of jobs and business ownership

Objective 3.1: Improve access to higher-paying jobs throughout the region, targeting the lowest income populations

Objective 3.2: Increase and retain quality jobs

Objective 3.3: Stimulate economic growth, catalyzing businesses and revenue

Economic Opportunity | Goal 2

Promote Work Readiness

Help build a skilled workforce with the knowledge and technical abilities to excel in a wide range of industry employment opportunities that provide a competitive, sustainable wage

Objective 2.1: Close the educational attainment gap in WNC, staying on pace with regional and county-specific projections (myFutureNC 2030).

Economic Opportunity | Goal 1

Develop a Comprehensive Data Resource

Source, analyze and share a comprehensive, county-by-county data set that paints a full picture of work readiness, economic development and entrepreneurial needs and opportunities specific to Western North Carolina

Education | Goal 3

Support Higher Education Career Readiness

Work in tandem with Economic Opportunity Strategic Priority to invest in career readiness at the community college and university levels

Objective 4.1: Close the educational attainment gap in WNC, staying on pace with regional and county-specific projections (myFutureNC 2030).

Education | Goal 2

Improve K-12 Education

Support K-12 learning experiences with the resources and sustainability to provide an excellent academic and social-emotional education, so that all students graduate ready for college or career

Objective 2.1: Address teacher workforce challenges

Objective 2.2: Equip families of students to support academic growth and social-emotional health

Objective 2.3: Increase capacity of partners to provide supports and services, particularly for children facing challenges related to poverty, systemic racism, being differently abled or English language learners

Education | Goal 1

Improve Early Childhood Education Ecosystem

Invest in an improved early childhood education ecosystem with the resources and sustainability to provide developmentally appropriate, affordable and accessible education and care to support ages birth to five, so that all children in WNC enter kindergarten ready to learn

Objective: Address early childhood educator workforce challenges

Education | Goal 4

Develop a Comprehensive Landscape Study

Source, analyze and share a comprehensive set of publicly available data that provides a regularly updated, county-by-county picture of access, workforce and student outcomes in early childhood education and K-12 education specific to Western North Carolina

Housing | Goal 5

Use Impact Investments to Create Affordable and Workforce Housing

Loans, guarantees, and other financial tools to leverage funding opportunities

Housing | Goal 4

Create and Preserve Housing Units for Persons Below 50% of the Median Income

Increase affordable housing for lowest-income individuals and families

Objective 4.1: Create rental units for households below 50% of the median income

Objective 4.2: Help families pay no more than 30% of their income on housing

Objective 4.3: Create and preserve communities in a way that is representative of the WNC natural landscape

Housing | Goal 3

Create and Preserve Senior Housing

Support age-appropriate resources in affordable and workforce units, rental and owned

Objective 3.1: Create needed rental and homeownership opportunities for seniors

Objective 3.2: Incorporate supportive services in rental housing developments

Objective 3.3: Increase use of universal design in development

Housing | Goal 2

Create and Preserve Supportive Housing Rental Units

Invest in housing with sustainable supports for physical and mental health and wellbeing

Objective 2.1: Create new supportive housing

Objective 2.2: Preserve existing supportive housing

Objective 2.3: Leverage state and federal funds

Single story home in the midst of being build with 3 volunteers helping.

Housing | Goal 1

Support Healthy and Safe Revitalization Opportunities

Support healthy and safe revitalizations that work against displacement and gentrification, preserve home ownership and create generational wealth.

Objective 1.1: Revitalize Neighborhoods

Objective 1.2: Repurpose existing structures to minimize environmental impact

Objective 1.3: Support home ownership