What eligibility criteria must be met for NCHOP?

• A. Age and income thresholds only.
• B. Residence in a particular county.
• C. Enrollment in Medicaid only.
• D. Health needs (physical and behavioral health) and social risk factors (housing instability, food insecurity, transportation needs, interpersonal violence).

Answer: (D)

NCHOP uses a integrated approach to eligibility, focusing on a person's current health needs and social determinants rather than simple demographic or enrollment criteria. You must demonstrate both health needs (covering physical and behavioral health concerns) and social risk factors (such as housing instability, food insecurity, transportation needs, and interpersonal violence). This means eligibility isn’t satisfied by age, income alone, residency in a specific county, or Medicaid enrollment alone; the program targets those who have real health care needs and are affected by social barriers that hinder health. For example, someone with a chronic health condition who also experiences housing instability would qualify, whereas having health needs alone or social risks alone would not under this criterion.