Protecting What Works: Preserving the Link Between Universal Risk Screening and the Relationship-Centered CMHRP Program in North Carolina

This policy brief discusses North Carolina’s Care Management for High Risk Pregnancy Program (CMHRP), the state’s primary strategy for supporting Medicaid enrolled pregnant individuals at elevated risk for adverse maternal and birth outcomes. Research and survey results show that CMHRP improves health outcomes, is acceptable to Medicaid clients and staff, and aligns with local health department (LDH) missions, while also highlighting concerns about sustainability and resource constraints.