Primary Health Choice, Inc.
Primary Health Choice, Inc. offers quality services that include North Carolina Innovations Wavier, Tailored Care Management, IDD and Mental Health, Intensive In-Home, Peer Support, Individual, Group Therapy, School Based Therapy, Family Therapy, Medication Management, and Telemedicine. The agency provides these services specific to best practices as identified by the NC Medicaid and Health Choice Clinical Coverage Policies 8A, 8C, 8L and 8P. We will continue to adapt to the on-going changes of the service definitions as outlined by the state.
NC Innovations
The NC Innovations Waiver is a Medicaid program that serves people who would otherwise live in an intermediate care facility for people with intellectual disabilities (ICF/IDD). This program gives people the opportunity to live in a community setting instead of an institution or group home. To qualify for the Innovations Waiver:
- The participants must be at risk of institutionalization
- The Medicaid cost for community care must be cost effective in comparison to the cost of ICF/IDD care
The waiver operates under a Medicaid Home and Community-Based Services (HCBS) waiver granted by the Centers for Medicare and Medicaid (CMS). CMS must approve the services, the number of individuals that may participate and other aspects of the program. NC Medicaid provides oversight of waiver issues.
IDD Services:
- Community Living Supports
- Community Networks
- Community Navigator
- Crisis Services: Crisis Intervention and Stabilization Supports
- Day Supports Group
- Supported Employment Services
- Respite
Tailored Care Management
Tailored Care Management is a North Carolina Medicaid service option.
Tailored Care Management Services will assist by:
Coordinating your health care and social services,
Providing assistance in obtaining community-based resources such as Housing, Transportation, and Employment Services
Supporting Care Transitions
Care Management Partners:
