North Carolina’s experience as the first state in nation to offer interpersonal violence services in Medicaid

The North Carolina Healthy Opportunities Pilot (HOP) launched coverage of health-related non-medical services in three predominantly rural regions of the state (two in eastern North Carolina and one in western North Carolina) in March of 2022. Subsequently, the state phased in several additional services including services that address interpersonal violence. This paper will provide helpful insights for all states addressing social drivers of health. In particular, it will shine a light on North Carolina’s offering of services to address interpersonal violence in HOP and lay out a road map for other states, including California, interested in covering these critical non-medical services and supports through Medicaid.