The Medical Home Concept
North Carolina Medicaid is a health insurance program for certain low-income and needy people paid with federal, state, and county dollars. It covers more than 1 million people in our state, including children, the aged, blind, and/or disabled, and people who are eligible to receive Federally assisted income maintenance payments. Finding medical providers to work with this population became a challenge and many of these recipients utilized costly emergency room services for health care. As a result, Carolina Access was established and community alternatives to provide home and community care as a cost-effective alternative came about.
CCNC's program has built upon Carolina Access and it works with communities to establish local medical provider networks (Medical Homes) that can effectively provide quality health care services resulting in cost savings. Locally, hospitals, primary care providers, public health departments and departments of social services have come together to develop a strategy for improving the care related to delivering services for the Medicaid population in their communities.
When enrolling in Carolina Access Medicaid, recipients are able to choose a network provider (medical home) in their local community who agrees to coordinate medical care for those recipients.