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NC Department of Health and Human Services
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HIV Case Management

DMA Clinical Policy and Programs
919-855-4380
Fax 919-715-9025

HIV case management is a client-focused strategy that:

  1. provides medically necessary services to enhance recipients’ health status and level of functioning, and
  2. promotes cost effectiveness. 

It is designed to empower clients through education, referrals and facilitating access to care, assisting clients to gain the tools needed to be their own advocates and navigate the health care and social services systems to improve health outcomes.  HIV Case management is not intended to be an ongoing service, but rather to be short term, goal-oriented, tailored to meeting the specific immediate needs of the client, with the intention of facilitating the client’s ability to meet his or her own needs.

The goals of HIV case management are:

  1. to improve eligible client’s access to a wide range of appropriate services;
  2. to promote continuity of care by coordinating service delivery arrangements;
  3. to enhance client’s health status and level of functioning; and
  4. to promote efficiency by reducing or containing the overall cost of services.

HIV case management includes the following core components: intake, assessment, care planning, resource development, service coordination, monitoring, reassessment and discharge.

Information about budget initiatives affecting HIV Case Management services is available on the Budget Initiatives web page.

Medicaid Bulletins

For changes and updates to coverage criteria, billing information, and other program requirements refer to the N.C. Medicaid general and special bulletins.