Services for Women with Opioid Exposed Pregnancies in North Carolina


Types of Service:
Care Management for At-Risk Children (CMARC)
CMARC is a public health program that serves children from birth to 5 years of age who meet certain risk criteria, including opioid exposed pregnancy. The main goals of the program are to improve health outcomes working with families. The CMARC Program is a partnership between, the NC Division of Public Health (DPH) and the NC Division of Health Benefits (DHB).
Care Management for High Risk Pregnancy
Care Managers are registered nurses or social workers who will work with women and their prenatal care providers to ensure they receive the best possible care while pregnant and after delivery. Care Management services are available to pregnant women enrolled in North Carolina Medicaid statewide, and to a limited number of low-income, uninsured pregnant women in some counties.
Home Visiting Programs
Home visiting programs for pregnant women and families with young children offer information, guidance, risk assessment, and parenting support at home. The programs are evidence-based models that are designed to improve child health and development, pregnancy outcomes, and parenting skills. There are four evidence-based home visiting models offered in NC:

  1. Nurse Family Partnership https://www.nursefamilypartnership.org
  2. Healthy Families America https://www.healthyfamiliesamerica.org
  3. Parents as Teachers https://www.parentsasteachers.org
  4. Early Head Start/Home-Based https://www.acf.hhs.gov/programs/ohs
Labor & Delivery Hospital
The hospital birth setting offers a safe environment with access to a range of physicians, medical staff, and medical technology when needed.
Medication for Opioid Use Disorder (MOUD) Treatment
Opioid treatment programs offer medication assisted treatment (MAT) also known as medication for opioid use disorders (MOUD). Methadone and/or Buprenorphine are listed, indicating what medication the program offers as part of their treatment services. Medication for Opioid Use Disorder treatment during pregnancy for women struggling with an opioid use disorder has been shown to have better birth outcomes, including full term birth and better birth weight, compared stopping or tapering opioids. These medications are most effective when part of comprehensive substance use disorder treatment services. (see Perinatal SUD Treatment Programs).
Perinatal Substance Use Disorder (SUD) Treatment
Substance use disorder services that are designed for women, including those who are pregnant, postpartum, parenting or seeking reunification with their children. These programs are available to women regardless of income or county of residence. Services range from outpatient care to long-term residential programs. These are cross area service programs, meaning that women living in any county are eligible to go to a program in any other county if she meets treatment criteria. The programs include or arrange for these components: substance-use disorder treatment, case management, life skills training, parenting education, child care services, and transportation services.
Pregnancy Medical Home/Prenatal Care
The goal of the Pregnancy Medical Home model is to improve birth outcomes through coordinated, evidence based prenatal care management with a focus on quality improvement for pregnant women insured with Medicaid. Prenatal practices that have signed on to become a ‘Pregnancy Medical Home’ receive coordination support from Community Care of North Carolina’s physician champions and nurse coordinators.
Prenatal care, including physical health check-ups, monitoring of pregnancy progress and health indicators, contribute to healthier birth outcomes. Prenatal care providers listed here provide care for women insured with Medicaid or who are uninsured. They may also provide care for privately insured women which insurance provider should be able to confirm.