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Empowering communities through recovery opportunity and support in Western North Carolina Healthy Opportunities Pilot The Healthy Opportunities Pilot is the nations first comprehensive program to test evidencebased nonmedical interventions that are designed to improve the health of Medicaid beneficiaries while reducing healthcare costs. This innovative program is being piloted in three regions across the state including right here in Western North Carolina. HOP provides support for social needs related to food housing transportation and interpersonal safety. Detailed information about the pilot can be found on the NCDHHS website ncdhhs.