Healthy Opportunities Pilot (HOP) Program

The opportunity for health begins where we live, learn, work and play.

North Carolina鈥檚 Healthy Opportunities Pilot program is an unprecedented opportunity to test the integration of evidence-based, non-medical interventions into the state鈥檚 Medicaid program. The Pilots will provide non-medical services to qualifying Medicaid members across four domains: housing, food, transportation and interpersonal violence/toxic stress. Critically, frontline care managers working in Pilot regions will play an essential role in identifying members that may benefit from Pilot services, recommending appropriate services and coordinating their care. Other staff working to support Pilot operations may find these trainings helpful to support their day-to-day work.

Keep this page open while you complete the steps below.

Step 1: Create an Account

路 Create a MyAHEC account.
路 Already have an account? Continue to Step 2.

Step 2: Register for Courses

路 Select the registration link for the course listed in the table below. 
路 Enter MyAHEC username and password and follow the prompts to complete registration.
路 Register for each course individually by selecting the corresponding link.

Step 3: Access Course Materials

路 Sign into MyAHEC.
路 Select My Courses and Events.

路 Select Access Course and Materials. 
路 Select Open to launch a course.

Required and Recommended Trainings

Trainings will be continually added to this page as they are published.


Release Date/Last UpdatedTitleSelect the link to register
for your course or to view
slides & recordings.
Course is required for Care Mangers
March 21, 2023Healthy Opportunities Pilot: How Care Managers Can Choose Appropriate Interpersonal Violence Services Part 2 RegisterYES

March 17, 2023How Care Managers
Can Obtain Pilot
RegisterAs Care Managers transition to using the consent form released in Spring 2023, this course is required.

January 20, 2023
How Care Managers Can Choose Appropriate Health Related Legal SupportsRegister

December 27, 2022
How Care Managers Can Choose Appropriate Toxic Stress ServicesRegister

December 8, 2022
Understanding the Medical Respite Cross Domain ServiceRegister

November 17, 2022

How Care Managers Can Choose Appropriate Interpersonal Violence ServicesRegisterYES

September 20, 2022

How Care Managers Can Choose Appropriate Housing ServicesRegister

September 2, 2022

How Care Managers Can Choose Appropriate Food Services within the Healthy Opportunities Pilot ProgramsRegister

September 2, 2022

How Care Managers Can Choose Appropriate Transportation ServicesRegister

August 22, 2022

Tracking Enrollee Progress, Reviewing Service Mix, and Reassessing Pilot EligibilityRegister

March 9, 2022

Assessing Member Eligibility for Participation in the Healthy Opportunities PilotsRecording聽and聽Slides

February 25, 2022

Deeper Dive on Pilot Responsibilities of Frontline Care ManagersRecording聽and聽Slides

February 11, 2022

The Role of CIN Care Management Teams in the Healthy Opportunities PilotsRecording聽and聽Slides


NC AHEC Diversity, Equity, and Inclusion (DEI) for Primary Care Clinical Providers and Non-clinical Staff | Module 2 鈥 Cultural HumilityMAHECYES

Using Motivational Interviewing to Support the Healthy Opportunities PilotsSEAHEC

Training for Human Service Organizations (HSOs)

Release Date/Last UpdatedTitleSelect the link to register
for your course today
Required for HSOs
March 17, 2023
Sensitive Services for
HSOs and Pilot Staff;
Privacy & Confidentiality
for Survivors

Other HOP-related Trainings

Release Date/Last UpdatedTitleCourse materialsRecommended For
May 3, 2023

CHW Specialty Training Program: Introduction to Healthy Opportunities Pilots for CHWs

Community Health Workers

February 15, 2023

Healthy Opportunities No Wrong Door Approach to EnrollmentRecording聽and聽SlidesPrimary Care Providers and Advanced Medical Homes

December 16, 2022

Healthy Opportunities Pilots:
Local Health Department Care Manager Pilot Engagement
SlidesLocal Health Departments

Building the skills and capacity for diversity, equity and inclusion (DEI) takes time to learn and integrate into patient care.  For this reason, it is recommended that Healthy Opportunities Pilot staff complete additional trainings, such as Implicit BiasStructural RacismCommunication in Healthcareand Microaggressions

Collaborative Care Model (CoCM)

What is the Collaborative Care Model (CoCM)?

Collaborative Care Model (CoCM) is an integrated modality that provides patients with medical and behavioral health care in a primary care setting.  An increasing number of primary care settings are incorporating behavioral health services. Benefits of CoCM include better patient outcomes, improved patient and provider satisfaction,  and reduction in health care costs. In addition, using CoCM may reduce health disparities in access to behavioral health. Most payors in North Carolina already cover the CoCM billing codes.

The Collaborative Care Model leverages a team-based, interdisciplinary and systematic approach to screen, diagnose, treat, and provide follow-up care. The CoCM includes:
鈥 A team made up of a Primary Care Provider (PCP) who leads the team, a Behavioral Health Care Manager (BHCM), and a Psychiatric Consultant;
care coordination and management;
鈥 regular/proactive monitoring and treatment using validated clinical rating scales;
鈥 and systematic psychiatric caseload reviews and consultation for patients who do not show clinical improvement.

What Resources are Needed for the Collaborative Care Model?

Below is a list of staff and resources needed to implement CoCM; please note this is not a complete list.
鈥 A Behavioral Health Care Manager (BHCM) who is full-time or shared, employed or contracted, onsite or virtual;
鈥 A contracted or employed Psychiatric Consultant (2-4 hours/week), onsite or virtual with protected time for the Primary Care Provider (PCP) and BHCM to review the caseload;
鈥 Protected time for PCPs to periodically communicate and participate in the care coordination;
鈥 A shared data registry that tracks depression scores, anxiety scores and progress in treatment for enrolled patients;
鈥 Systematic screening protocols.

What is NC AHEC鈥檚 Role with Collaborative Care Model (CoCM)?

The North Carolina Department of Health and Human Services, Division of Health Benefits (DHB) has partnered with NC AHEC to provide educational and practice-based support to primary care practices interested in implementing the Collaborative Care Model.  This includes coaching on workflows and billing/coding, registry implementation, and continuing education programs.

NC AHEC will offer CoCM virtual learning opportunities, including:
(1) Education Modules, designed for providers interested in learning about the CoCM. Modules currently available on demand include:

Module 1: Collaborative Care Model (CoCM) Rationale and Evidence
Module 2: Laying the Foundation for Collaborative Care Through Practice Transformation
Module 3: Putting Collaborative Care Principles into Practice: Planning for Clinical Practice Change
Module 4: Collaborative Care Management for Primary Care Providers
Module 5: The Role of the Psychiatric Consultant the Collaborative Care Model
Module 6: Billing the Codes and the General Business Model for Collaborative Care
Module 7: Brief Therapeutic Interventions
Module 8: Best Practices for Collaborative Care Management Behavioral Health Care Manager
Module 9: Behavioral Health Care Manager (BHCM) Best Practices
Module 10: Best Practices in Pediatric Collaborative Care

To register for and access the modules listed above, click the blue button below.

(2) Collaborative Learning Sessions, designed for providers actively engaged with NC AHEC coaches to implement the CoCM within their practices.

What Other Groups Support CoCM?

Other agencies and associations that support this endeavor include:
鈥 The NC Academy of Family Physicians, NC Pediatric Society, and NC Medical Society support this endeavor.
鈥 Community Care of North Carolina (CCNC) provides access to an enhanced version of the AIMS Caseload Tracker registry for up to three years for qualifying practices starting in the fall of 2022.
鈥 The NC Psychiatric Association and NC PAL are supplying adult and pediatric psychiatrists to partner with interested practices.  NC PAL pediatric psychiatrists will be made available at no cost for up to ten practices.

For more information, contact NC AHEC Practice Support at or NC Medicaid at NC DHHS: Medical Assistance.

July 18, 2022

Sarah Kimmel

Sarah Kimmel is the Digital Library Manager for the AHEC Digital Library at NC AHEC. Prior to joining NC AHEC, Sarah served as a Project [...]



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