Care Management

Care Management for At-Risk Children (CMARC)

Care Management for At-Risk Children is a program offered at no charge for eligible children from birth to 5 years of age who:

Have chronic medical conditions
Are in stressful situations long term
Have been referred by the child’s doctor

The goal of CMARC is to improve the health of your child by linking you to effective, efficient services that will meet the needs of your child and family. For eligible families who want CMARC services, a care plan is designed by the family and the care manager.

CMARC services are provided or assured by local health departments in partnership with North Carolina Division of Medical Assistance.

CMARC Managers

Care managers work with families through:

Home visits
Phone calls
Visits at the doctor’s office
Other types of contacts

How often these contacts occur depends on the needs and desires of the family. What the care manager can do:

Ask you about your child and family needs, concerns, goals, and questions
Work with you to be sure you have a medical home (doctor) for your child and / or support you in building a strong link with them
Work with every health care provider that your child sees to be sure he/she gets the best treatment.
Help you get answers to questions
Recognize you as the expert on your child
Offer referrals to other community agencies to address your family’s needs, concerns, and goals
Offer information on health and family topics, including child growth and development
Support you in being your child’s best advocate.

Additional Information

For additional information, please contact the care manager at (336) 849-7910.

Care Management for High-Risk Pregnancies (CMHRP)

Care Management for High-Risk Pregnancies is a statewide program in North Carolina promoting healthy mothers and healthy babies who have Medicaid. This program provides care management services by a social worker or nurse for high risk women during pregnancy and two months after delivery.

High Risk Criteria

Have ever had a premature baby (born before 37 weeks)
Are pregnant with twins, triplets, etc.
Have diabetes, high blood pressure, HIV, sickle cell, asthma, seizure disorder, mental illness, or other conditions which can affect your pregnancy
Are in an unsafe living environment (homeless, unstable housing, family violence, or sexual abuse)
Use drugs and / or alcohol while you are pregnant
Smoke or use tobacco products while you are pregnant

How Will I Know if I am High Risk?

When you have your first visit with your prenatal care provider, he or she will help you determine if you have any risk factors. If you have risk factors, you will be referred to a pregnancy care manager.

What Will a Pregnancy Care Manager do for Me?

Help you identify your needs and make a plan to address them
Work closely with you and your doctor to understand your needs
Help arrange transportation to medical appointments, if needed
Work hand in hand with you to help have a healthy baby