Care Management Services                                                   

Care Coordination for Children (CC4C)
Care Coordination for Children (CC4C) is a program offered at no charge for children birth to 5 years of age who:

  • Have long-term medical conditions; and/or
  • Are dealing with challenging levels of stress; and/or
  • Are referred by the child's doctor

When the CC4C Care Manager receives a referral, they talk with the family to determine whether their child and family could benefit from CC4C services. For eligible families who want CC4C services, a CC4C plan of care is developed by the family and the CC4C Care Manager. CC4C Care Managers work with families through home visits, phone calls, visits to the doctor and other types of contact. How often CC4C Care Managers are in touch with families depends on the needs and desires of the family. The CC4C Care Managers link children and families to community resources,  medical, physical, occupational, speech and language therapy services,  parenting assistance, information and education. Contact frequency is based on child and family needs and continues until such needs are met.

To Make A Referral
Print and complete the CC4C referral form below and fax it to: 704-216-7999, Attention: CC4C Program.

CC4C Referral Form

CC4C Brochure

Pregnancy Care Management
These services are provided for pregnant Medicaid recipients who are determined to be at risk for poor birth outcomes. All patients identified as having priority risk factors will be assessed by an OB Care Manager who will then work with the woman and her prenatal care provider to ensure she receives the best possible care while she is pregnant and after delivery. Priority risk factors include: A history of preterm birth, a history of low birth weight, multiple gestation, fetal complications, chronic conditions which may complicate pregnancy, unsafe living environment (homelessness, inadequate housing, violence or abuse), substance use, tobacco use, missing two or more prenatal appointments without rescheduling, and inappropriate hospital utilization. All Pregnancy Medical Home (PMH) providers are required to complete a pregnancy risk screening to identify these and other risk factors. Non-PMH providers are able to refer their patients/clients for Pregnancy Care Management services using the referral form below.

To Make A Referral
To refer pregnant Medicaid recipients who are determined to be at risk for poor birth outcome, please complete the referral form below and fax it to 704-216-7999, Attention: PCM program.

PCM Referral Form

PCM Brochure

For More Information about Care Management Programs and Services 
Call 704-216-8867

For additional information, please go to the Division of Medical Assistance, the Community Care of North Carolina and the NC Department of Public Health, Women's and Children's Health section, or call the CARE-LINE Information and Referral Service: 1-800-662-7030 (English/Espanol). Deaf and hard of hearing callers can dial 1-877-452-2514 (TTY).