Metropolitan Community Health Services Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

ADVANCING AND EXPANDING THE CURRENT CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC PROGRAM WITHIN RURAL NORTH CAROLINA - PROJECT NAME: CCBHC ADVANCEMENT GRANT IN RURAL EASTERN NORTH CAROLINA. SUMMARY OF PROJECT: THE SIGNIFICANCE OF THE STATISTICS PRESENTED BELOW WILL DEMONSTRATE THE NEED TO COMBAT THE MENTAL HEALTH CRISIS BY INCREASING ACCESS TO HIGH QUALITY COMMUNITY MENTAL HEALTH AND SUD TREATMENT SERVICES WITHIN MCHS’S RURAL AND IMPOVERISHED CATCHMENT AREA. MENTAL HEALTH AMERICA PUBLISHED THE 2022 STATE OF MENTAL HEALTH AMERICA REPORT IN WHICH NORTH CAROLINA RANKED 38TH OUT OF 51 FOR ACCESS TO MENTAL HEALTH CARE (A HIGHER RANKING DEMONSTRATES MORE NEED). WITHIN THE SAME REPORT, NORTH CAROLINA RANKED 42ND OUT OF 51 FOR YOUTH MENTAL HEALTH AND PLACED 31ST OUT OF 51 FOR OVERALL MENTAL HEALTH.1 THE COVID-19 PANDEMIC HAS ALSO GREATLY IMPACTED THE MENTAL WELLBEING OF THE ENTIRE WORLD AND NORTH CAROLINA IS NO EXCEPTION. IN 2021 35% OF ADULTS IN NORTH CAROLINA REPORTED SYMPTOMS OF ANXIETY AND/OR DEPRESSIVE DISORDER. FOR COMPARISON, IN 2015 16% PER 100,000 INDIVIDUALS DIED DUE TO DRUG OVERDOSE HOWEVER IN 2020 THAT INCREASED TO 31% PER 100,000 INDIVIDUALS. POPULATIONS TO BE SERVED: ALONG WITH BEING DESIGNATED AS A MUA, EACH OF THE FIVE COUNTIES ARE DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). BEAUFORT COUNTY IS DESIGNATED AS A LOW-INCOME POPULATION HPSA, HYDE COUNTY IS DESIGNATED AS A HIGH NEED GEOGRAPHIC HPSA, MARTIN COUNTY IS DESIGNATED AS A LOW-INCOME HPSA, TYRRELL COUNTY IS DESIGNATED AS A LOW-INCOME POPULATION HPSA, AND WASHINGTON COUNTY IS DESIGNATED AS A GEOGRAPHIC HPSA. ALL OF THE LISTED HPSA DESIGNATIONS ARE SPECIFIC TO MENTAL HEALTH. THE COUNTIES ARE DESIGNATED WITH ADDITIONAL HPSA DESIGNATION TYPES FOR DENTAL AND PRIMARY CARE. APPROXIMATELY 43% OF THE POPULATION WITHIN THE CATCHMENT AREA IS CATEGORIZED AS LOW-INCOME WHICH MEANS THIS PERCENTAGE OF THE POPULATION LIVES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL). OF THE NEARLY 146,000 RESIDENTS LIVING WITHIN THE ENTIRE CATCHMENT AREA, APPROXIMATELY 62,000 OF THESE RESIDENTS ARE LOW-INCOME. ADDITIONALLY, 20% OF THE POPULATION LIVES IN POVERTY, 12% ARE UNINSURED, 22% CLASSIFY AS HAVING A DISABILITY, AND OVER 19% OF ADULTS HAVE NO USUAL SOURCE OF CARE.4 THE NORTH CAROLINA INJURY & VIOLENCE PREVENTION BRANCH PROVIDED THE NUMBER OF OPIOID POISONING EMERGENCY DEPARTMENT (ED) VISITS WITHIN THE CATCHMENT AREA. GOALS & OBJECTIVES: GOAL 1: TO INCREASE ACCESS TO HIGH QUALITY COMMUNITY MENTAL HEALTH AND SUD TREATMENT FOR INDIVIDUALS WITH SMI, SUD, SED, AND COD IN RURAL EASTERN NORTH CAROLINA WITH A FOCUS ON VULNERABLE POPULATIONS. OBJECTIVES: 1) BY THE END OF YEAR 2, MCHS WILL HAVE CONTACTED OVER 500 INDIVIDUALS THROUGH PROGRAM OUTREACH; 2) BY THE END OF YEAR 2, MCHS WILL HAVE SCREENED AND ASSESSED OVER 850 INDIVIDUALS; AND 3) MCHS WILL SERVE 700 UNDUPLICATED INDIVIDUALS IN YEAR 1; 850 UNDUPLICATED INDIVIDUALS IN YEAR 2; AND 1,550 UNDUPLICATED INDIVIDUALS’ TOTAL. GOAL 2: TO REDUCE THE NUMBER OF EMERGENCY DEPARTMENT VISITS BY PREVENTING OR MINIMIZING RECURRENT ACUTE EPISODES OF SMI AND SED. OBJECTIVES: 1) BY THE END OF YEAR 2, MCHS’S CERTIFIED ACT TEAM WILL HAVE SERVED OVER 100 INDIVIDUALS AND 2) BY THE END OF YEAR 2, THE NUMBER OF SMI AND SED EMERGENCY ROOM VISITS IN THE SERVICE AREA WILL DECREASE BY 20%. GOAL 3: TO DECREASE THE NUMBER OF OPIOID-RELATED EMERGENCY DEPARTMENT VISITS BY INCREASING THE NUMBER OF INDIVIDUALS RECEIVING SUD TREATMENT. OBJECTIVES: 1) BY THE END OF YEAR 2, MCHS’S RAPID RESPONSE TEAM WILL HAVE SERVED OVER 200 INDIVIDUALS; 2) BY THE END OF YEAR 2, MCHS’S MAT PROVIDERS WILL HAVE SERVED OVER 400 NEW INDIVIDUALS; AND 3) BY THE END OF YEAR 2, THE NUMBER OF OPIOID RELATED EMERGENCY DEPARTMENT VISITS WILL DECREASE BY 20%.

CCBHC EXPANSION IN RURAL EASTERN NORTH CAROLINA

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MEDICATION ASSISTED TREATMENT ACCESS - PROJECT ABSTRACT PROJECT TITLE: RURAL COMMUNITIES OPIOID RESPONSE PROGRAM – MEDICATION ASSISTED TREATMENT ACCESS - NEW ACCESS POINT REQUESTED AWARD AMOUNT: $3,000,000 METROPOLITAN COMMUNITY HEALTH SERVICES, INC. DBA AGAPE HEALTH SERVICES 120 W MARTIN LUTHER KING JR. DRIVE, WASHINGTON, NC, 27889 FEDERALLY QUALIFIED HEALTH CENTER (501C3 NON PROFIT) DR. MICHAEL MCDUFFIE, EXECUTIVE DIRECTOR WEB SITE: AGAPECHC.ORG METROPOLITAN COMMUNITY HEALTH SERVICES (MCHS) IS A NONPROFIT 501(C)(3) FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER (CCBHC) THAT PROVIDES INTEGRATED PRIMARY MEDICAL, DENTAL, PHARMACY AND BEHAVIORAL HEALTH SERVICES INCLUDING MEDICATED ASSISTED TREATMENT (MAT) TO VULNERABLE, LOW-INCOME POPULATIONS OF EASTERN NORTH CAROLINA ON A SLIDING FEE SCALE. MCHS SERVES FIVE COUNTIES OF EASTERN NORTH CAROLINA, BEAUFORT, MARTIN, TYRRELL, WASHINGTON, AND HYDE. CURRENTLY, MCHS OFFERS MAT SERVICES IN TWO LOCATIONS: WASHINGTON, NC (BEAUFORT COUNTY) AND WILLIAMSTON (MARTIN COUNTY). MCHS IS PROPOSING TO ESTABLISH A NEW ACCESS POINT FOR MAT SERVICES IN PLYMOUTH, NC, LOCATED IN WASHINGTON COUNTY. THIS NEW ACCESS POINT WILL OFFER OUD AND AUD TREATMENT SERVICES AS WELL AS BEHAVIORAL HEALTH SUPPORT SERVICES IN ADDITION TO PRIMARY CARE AND DENTAL SERVICES WHICH ARE CURRENTLY BEING OFFERED. MCHS WILL OFFER SERVICES DURING OFFICE VISITS AT THE MCHS LOCATION IN PLYMOUTH, VIA TELEHEALTH AND WILL ALSO USE THE MCHS MOBILE UNIT TO TAKE THESE SERVICES TO MOST RURAL AND DESOLATE AREAS OF THE REGION TO SERVE THOSE WITH TRANSPORTATION CHALLENGES. MCHS WILL ALSO OFFER EXTENDED HOURS TO ENSURE ACCESSIBILITY TO THE TARGET POPULATION. MCHS WILL BUILD COMMUNITY CAPACITY AND INFRASTRUCTURE TO SUPPORT MORE EFFECTIVE AND EFFICIENT MAT SERVICE PROVISION BY PARTNERING WITH LOCAL LAW ENFORCEMENT AND JAILS, A LOCAL HOSPITAL EMERGENCY DEPARTMENT, THE NC OFFICE OF RURAL HEALTH, AND A LOCAL PHARMACY. THESE PARTNERSHIPS WILL HELP IDENTIFY THOSE INDIVIDUALS IN NEED OF MAT SERVICES FOR REFERRAL, AID IN THE RECRUITMENT OF QUALIFIED CLINICIANS TO DELIVER SERVICES, AND ACT AS AN ADDITIONAL RESOURCE FOR ACCESS TO PRESCRIBED MEDICATIONS FOR CLIENTS. MCHS WILL USE EVIDENCE-BASED PRACTICES AND FDA-APPROVED MEDICATION OPTIONS FOR OUD, INCLUDING BUPRENORPHINE AND NALTREXONE TO MOST EFFECTIVELY MEET THE NEEDS OF THE INDIVIDUAL THE TARGETED REGION FOR THIS NEW ACCESS POINT WILL INCLUDE WASHINGTON, MARTIN, TYRRELL, AND HYDE COUNTIES ACCORDING TO THE UNIFORM DATA SYSTEM MAPPER REPORT OF MCHS’S RURAL SERVICE AREA, OVER 44% OF THE POPULATION (40,544 RESIDENTS) ARE LOW-INCOME RESIDENTS WITH INCOMES UNDER 200% OF THE FEDERAL POVERTY LEVEL, 24% LIVE IN POVERTY, AND 18% ARE UNINSURED. IN THE TOWN OF PLYMOUTH, 49.48% WERE LOW-INCOME IN 2017. ACCORDING TO THE NORTH CAROLINA INJURY & VIOLENCE PREVENTION BRANCH, IN MCHS’S SERVICE AREA, THERE WERE NO OPIATE POISONING DEATHS IN 1999 BUT THIS NUMBER HAS BEEN GROWING EACH YEAR, AND FROM 1999 THROUGH 2016, THERE WERE A TOTAL OF 90 DEATHS DUE TO OPIATE POISONING IN THESE COUNTIES. ACCORDING TO THE NORTH CAROLINA INJURY & VIOLENCE PREVENTION BRANCH, THE SERVICE AREA, THE NUMBER OF OPIATE POISONING EMERGENCY DEPARTMENT (ED) VISITS MORE THAN DOUBLED FROM 17 IN 2008 TO 35 IN 2016, AND THERE WERE 217 TOTAL OPIATE POISONING ED VISITS DURING THIS PERIOD AND 81 MORTALITIES RELATED TO UNINTENTIONAL DRUG POISONINGS IN 2017 ALONE. ALSO, FROM 2004 THROUGH 2016, THERE WERE OVER 220 OPIATE POISONING HOSPITALIZATIONS IN MCHS’S SERVICE AREA. THE NEED FOR A STRONG OPIOID TREATMENT PROGRAM IS EXACERBATED AS ALL FOUR COUNTIES ARE DESIGNATED AS TIER 1 BY HRSA AND AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) FOR MENTAL HEALTH.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

EXPANDING AND ENHANCING ACCESS TO MEDICATION ASSISTED TREATMENT (MAT) IN RURAL EASTERN NORTH CAROLINA

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - OVERVIEW OF APPLICANT: METROPOLITAN COMMUNITY HEALTH SERVICES, INC (MCHS) PROVIDES PRIMARY MEDICAL, DENTAL, PHARMACY, AND BEHAVIORAL HEALTH SERVICES TO VULNERABLE POPULATIONS WITHIN THE RURAL COUNTIES OF BEAUFORT, HYDE, MARTIN, TYRRELL, AND WASHINGTON IN NORTH CAROLINA. MCHS IS A 501(C)(3) NON-PROFIT FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND PROVIDES SERVICES ON A SLIDING FEE SCALE. OBJECTIVES: MCHS WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES. MCHS WILL INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING TREATMENT WITH MEDICATIONS FOR OPIOID DISORDER (MOUD). SUMMARY OF PROJECT: THE PURPOSE OF THIS FUNDING THAT IS MADE AVAILABLE BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) IS TO SUPPORT H80 RECIPIENT HEALTH CENTERS IN THEIR EFFORTS TO INCREASE BEHAVIORAL HEALTH SERVICES THROUGH THE EXPANSION OF MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES (SUD). MCHS IS PROPOSING TO EXPAND THE EXISTING BEHAVIORAL HEALTH SERVICES IN AN EFFORT TO REACH MORE INDIVIDUALS LIVING WITHIN THE FIVE-COUNTY SERVICE AREA. THE SERVICE AREA THAT MCHS OPERATES WITHIN HAS BEEN DESIGNATED AS A MEDICALLY UNDERSERVED AREA (MUA) BY HRSA. THERE ARE AN ESTIMATED 292,000 INDIVIDUALS WITHIN MCHS’ SERVICE AREA OF WHICH APPROXIMATELY 43% ARE LOW-INCOME, 21% LIVE IN POVERTY, AND THERE ARE APPROXIMATELY 32,000 INDIVIDUALS UNINSURED. TO FURTHER EXACERBATE THESE ONGOING ISSUES, THIS PART OF EASTERN NORTH CAROLINA IS ALL TOO FAMILIAR WITH THE CURRENT MENTAL HEALTH CRISIS AND OPIOID EPIDEMIC FACED WITHIN THE UNITED STATES. ACCORDING TO THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES (NCDHHS) THE RATE OF MEDICATION/DRUG OVERDOSE DEATHS PER 100,000 INDIVIDUALS WAS 27.6 FOR NORTH CAROLINA. HOWEVER, FOUR OF THE FIVE COUNTIES RATED MUCH HIGHER WITH BEAUFORT COUNTY RATING 34.0, HYDE COUNTY RATING 43.6, MARTIN COUNTY RATING 32.1, AND TYRRELL COUNTY RATING 35.4. ADDITIONALLY, THE SUICIDE RATES IN BOTH BEAUFORT AND WASHINGTON CO UNTIES ARE HIGHER THAN THE SUICIDE RATE FOR THE STATE OF NORTH CAROLINA. THE NEED FOR EXPANDED MENTAL HEARETH AND SUD SERVICES ARE ONLY INTENSIFIED AS ALL FIVE COUNTIES ARE DESIGNATED BY HRSA AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) FOR MENTAL HEALTH.

2023 FALL PREVENTION GRANT PROGRAM

FISCAL YEAR 2023 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS (CARE)

HEALTH CENTER INFRASTRUCTURE SUPPORT

MENTAL HEALTH AWARENESS TRAINING PROJECT IN RURAL EASTERN NORTH CAROLINA - OVERVIEW: METROPOLITAN COMMUNITY HEALTH SERVICES (MCHS), A 501(C)(3) NON-PROFIT FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT IS A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC, IS APPLYING FOR THE MENTAL HEALTH AWARENESS TRAINING GRANT TO INCREASE MENTAL HEALTH AWARENESS AND TRAIN POPULATIONS IN RURAL EASTERN NORTH CAROLINA ON HOW TO APPROPRIATELY AND SAFELY RESPOND TO INDIVIDUALS WITH MENTAL DISORDERS, PARTICULARLY INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI) AND/OR SERIOUS EMOTIONAL DISTURBANCE (SED). AS PART OF THIS PROJECT, MCHS WILL COORDINATE WITH APPROPRIATE STATE AND LOCAL HEALTH AGENCIES INCLUDING THE DIVISION OF MENTAL HEALTH, DEVELOPMENTAL DISABILITIES AND SUBSTANCE ABUSE AT DHHS. OVERVIEW OF MCHS: MCHS PROVIDES MENTAL HEALTH SERVICES AS WELL AS PRIMARY AND PREVENTIVE MEDICAL, DENTAL, PHARMACY, BEHAVIORAL HEALTH, AND SUBSTANCE ABUSE SERVICES TO VULNERABLE AND INDIGENT POPULATIONS IN EASTERN NORTH CAROLINA ON A SLIDING FEE SCALE. MCHS SERVES THE RURAL COUNTIES OF BEAUFORT, HYDE, MARTIN, TYRRELL, AND WASHINGTON IN NORTH CAROLINA. PROJECT NAME: MENTAL HEALTH AWARENESS TRAINING PROJECT IN RURAL EASTERN NORTH CAROLINA POPULATIONS TO BE SERVED: MCHS WILL SERVE POPULATIONS THROUGHOUT ITS FIVE-COUNTY SERVICE AREA, WITH A FOCUS ON VULNERABLE, LOW-INCOME, AND UNINSURED POPULATIONS; THESE COUNTIES SHARE SIGNIFICANT HEALTH CARE, ECONOMIC, GEOGRAPHIC, AND EDUCATIONAL CHALLENGES. ACCORDING TO THE UNIFORM DATA SYSTEM MAPPER REPORT OF MCHS’S SERVICE AREA, 43% OF THE POPULATION ARE LOW-INCOME RESIDENTS, 22% LIVE IN POVERTY, AND 11% ARE UNINSURED, AND THE COUNTY HEALTH RANKINGS SHOWS THAT ALL COUNTIES IN THE SERVICE AREA HAVE NUMEROUS CORE HEALTH INDICATORS THAT ARE WORSE THAN THOSE OF THE STATE OF NORTH CAROLINA. IN THESE COUNTIES, THE AVERAGE NUMBER OF POOR MENTAL HEALTH DAYS IS WORSE THAN THE STATE’S AVERAGE, THE PERCENTAGE OF THE POPULATION REPORTING FREQUENT MENTAL DISTRESS OF 14 OR MORE DAYS EACH MONTH RANGED FROM 13% TO 15%, AND THERE ARE HIGH SUICIDE RATES. THE NEED FOR AWARENESS OF AND REFERRAL TO MENTAL HEALTH SERVICES IS EXACERBATED AS ALL FIVE COUNTIES ARE DESIGNATED BY HRSA AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) FOR MENTAL HEALTH. IN ADDITION, THE COVID-19 PANDEMIC IS HAVING A DEVASTING IMPACT ON THIS RURAL AREA WHERE THE NUMBER OF POSITIVE CASES AND THE CASE RATES PER 100,000 HAVE BEEN DRASTICALLY INCREASING. STRATEGIES & INTERVENTIONS: MCHS PLANS TO UTILIZE A PROJECT MANAGER/TRAINER AND THREE TRAINERS TO PROVIDE MENTAL HEALTH FIRST AID (MHFA) TRAINING TO COMMUNITY MEMBERS, INCLUDING SCHOOL PERSONNEL, EMERGENCY FIRST RESPONDERS, LAW ENFORCEMENT, VETERANS, ARMED SERVICES MEMBERS AND THEIR FAMILIES, AND OTHERS TO RECOGNIZE THE SIGNS AND SYMPTOMS OF MENTAL DISORDERS, PARTICULARLY SMI AND/OR SED. AS PART OF THE TRAININGS, MCHS WILL TEACH INDIVIDUALS TO IDENTIFY PERSONS WITH A MENTAL DISORDER AND EMPLOY CRISIS DE-ESCALATION TECHNIQUES, AND WILL PROVIDE EDUCATION ABOUT COMMUNITY RESOURCES FOR INDIVIDUALS WITH A MENTAL DISORDER. MCHS WILL ALSO ESTABLISH AND STRENGTHEN LINKAGES WITH SCHOOL- AND COMMUNITY-BASED MENTAL HEALTH AGENCIES TO REFER INDIVIDUALS WITH THE SIGNS OR SYMPTOMS OF MENTAL ILLNESS TO APPROPRIATE SERVICES. PROJECT GOALS: TO INCREASE MENTAL HEALTH AWARENESS; TO INCREASE REFERRALS OF INDIVIDUALS WITH THE SIGNS OR SYMPTOMS OF MENTAL ILLNESS TO APPROPRIATE SERVICES; AND TO INCREASE THE APPROPRIATE UTILIZATION OF CRISIS DE-ESCALATION TECHNIQUES FOR PERSONS WITH MENTAL DISORDERS. OBJECTIVES: 1) TO PROVIDE MHFA TRAINING TO 330 INDIVIDUALS ANNUALLY AND 1,650 INDIVIDUALS THROUGH THE LIFETIME OF THE PROJECT. 2) WITHIN FOUR MONTHS OF THE PROJECT’S IMPLEMENTATION, TO ESTABLISH OR STRENGTHEN LINKAGES WITH 12 SCHOOL- AND COMMUNITY-BASED AGENCIES TO REFER INDIVIDUALS WITH THE SIGNS OR SYMPTOMS OF MENTAL ILLNESS TO APPROPRIATE SERVICES. 3) TO INCREASE THE NUMBER OF REFERRALS OF INDIVIDUALS WITH THE SIGNS OR SYMPTOMS OF MENTAL ILLNESS TO APPROPRIATE SERVICES TO 125 INDIVIDUALS ANNUALLY AND 625 INDIVIDUALS TOTAL.

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

DLT OPIOID GRANTS

MENTAL HEALTH AWARENESS TRAINING PROJECT IN RURAL EASTERN NORTH CAROLINA

ARRA - CAPITAL IMPROVEMENT PROGRAM

EMPOWERING COMMUNITIES TO ADDRESS BEHAVIORAL HEALTH AND CHRONIC PAIN THROUGH CHRONIC DISEASE SELF-MANAGEMENT EDUCATION PROGRAMS IN RURAL EASTERN NORTH CAROLINA

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

EMPOWERING OLDER ADULTS AND ADULTS WITH DISABILITIES THROUGH CHRONIC DISEASE AND CHRONIC PAIN SELF-MANAGEMENT EDUCATION PROGRAMS IN RURAL EASTERN NORTH CAROLINA

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

RYAN WHITE TITLE IV PROGRAM

RYAN WHITE TITLE III: EARLY INTERVENTION SERVICES

COMMUNITY ACCESS PROGRAM