Care Management for At-Risk Children

The Care Management of At-Risk Children (CMARC) program is care management for non-Medicaid and Medicaid children, birth to five years of age, who have long-term medical conditions, are in long-term stressful situations (been exposed to adverse childhood experiences or adversely affected by social determinants of health), children in foster care, the Infant Plan of Safe Care and/or were in a Neonatal Intensive Care Unit (NICU). This early childhood care management is for patients and families by local health departments in partnership with Community Care of North Carolina, the NC Division of Medical Assistance, Prepaid Health Plans and the NC Division of Child and Family Well-being.  


CMARC is a program offered at no charge for children birth to 5 years of age who are included in our target population and meet the following requirements: 

  • Special health care needs; and/or 

  • Have long-term medical conditions; and/or 

  • Are dealing with challenging levels of stress; and/or 

  • Referred by the child’s doctor; and/or 

  • Plan of Safe Care (PoSC) 

  • Foster Care 

How to make a referral to CMARC

Referral procedures vary by county as well. Please complete the referral form and review NC Medicaid for additional information. 

Who may make a referral to CMARC

  • Direct Provider referrals 

  • Social service agencies (WIC, DSS, and community programs) 

  • Hospital referrals 

  • Self-referral by families 

  • Member’s Health Plan 

  • Other Health Care Entities 

Related Information