The North Carolina Medicaid program covers Case Management (CM) services for recipients living with Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (HIV/AIDS). HIV case management is a client-focused strategy for coordinating care. It involves assessing a client’s need for specific health, psychological, and social services and facilitating access to services that will address those needs. The goal of HIV CM services is to facilitate the client’s medical, social, and educational needs.

The North Carolina Division of Medical Assistance (DMA) and The Carolinas Center for Medical Excellence (CCME) are excited about the introduction of HIV Case Management Clinical Coverage Policy 12B, which went into effect on October 1, 2010. The policy requires all participating HIV case management providers, starting January 2011, to become certified. This policy reflects the trends and needs faced today by over 20,000 people living with HIV/AIDS in North Carolina.

DMA has contracted with CCME to provide HIV case management agencies with:

• Certification
• Training
• Quality Improvement
• Technical Assistance

This program will prepare case managers with the knowledge and skills to better serve and improve the overall health of their patients. Please visit the HIV Case Management Provider Training section for information on dates and times of scheduled training for the revised certification process and newly released policy.

For more on the HIV case management program, please contact Al Huntoon, HIV Program Supervisor at 919-461-5556, or HIVCM@thecarolinascenter.org.