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Healthy and Ready to Learn:


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Title: Healthy and Ready to Learn:

  • Healthy and Ready to Learn
  • Enrolling Children in Health Insurance

2011 National Smart Start Conference May 5,
  • Agenda
  • 1000 am 1015 am Welcome, ice-breaker
  • 1015 am 1030 am Group activity
  • 1030 am 1045 am Overview of North
    Carolinas childrens health insurance programs
    and resources to support enrollment of
    young children Norma Marti, Public
    Health Minority Outreach Consultant, NC Division
    of Public Health
  •  1045 am 1050 am Video intermission
  •  1050 am 1115 am Healthy and Ready to Learn
    (HRL) initiative Ania Boer, Project Director
    Laura Brewer, India Foy and Betty Macon, HRL
    Local Community Coordinators, NC
    Pediatric Society Foundation
  • 1115 am 1130 am Questions Answers
  • Healthy students learn better!

NCs Public Programs Providing Quality Health
Care for Kids Health Check / NC Health Choice
Norma Martí, Public Health Consultant Healthy
Ready to Learn SMART Start Conference May 5,
2011 Greensboro, NC
Children and Youth Branch
  • NCs statistics you need to know
  • Insured/Uninsured
  • Diversity
  • History of federal legislation
  • Health Check/Medicaid
  • NC Health Choice/S-CHIP and CHIPRA
  • Overview of Health Check/NC Health Choice
  • CLAS (Culturally Linguistically Appropriate
    Standards) components to outreach

Why is it important to promote child health
insurance and access to a medical home for
  • Parents struggle to address the health care needs
    of their children.
  • Well Child Care / Immunizations
  • Early Identification of Health Risks
  • Treatment of Illnesses/Chronic Disease
  • Behavioral-Mental Health
  • Nutritional
  • Dental/Vision/Hearing
  • Access to health insurance and a medical home
    plays a key role in children receiving the
    community resources and services needed.
  • There is a societal impact that being uninsured
    has on a childs ability to be healthy and ready
    to learn.
  • Segments of population within our state are not
    as connected to systems or dont see prevention
    treatments as priority
  • New immigrants/refugees
  • Disenfranchised populations

Why is it important for children to be insured?
  • Compared to insured children, uninsured children
  • 25 more likely to miss school
  • 8X less likely to have a regular source of care
  • 4X more likely to delay or avoid care when needed
  • 5X more likely to seek care from an emergency
  • 7X more likely not to have prescriptions filled
  • In addition
  • 20 have untreated vision problems
  • 1 in 5 parents of uninsured children keep their
    kids from playing sports due to fear of injury
  • Research data compiled by the RWJF Covering Kids

Census 2010 http//
(No Transcript)
NC Children in Immigrant Families Concentration
in Major Urban Areas
  • Source Population Reference Bureau, analysis of
    the 2008 ACS, PUMS Data PUMS data.
  • Children in Immigrant Families
  • February 2010

NC Refugee Population Country of Origin
Source NC DHHS-Refugee Health Program
What child health insurance programs does North
Carolina offer?
  • North Carolina offers two health insurance
    programs for children
  • Health Check (Medicaid for Children)
  • N.C. Health Choice
  • (Federal Name is CHIP)
  • Both offer free or low cost health insurance for
    children and teens.
  • The same application is used to determine
    eligibility for both programs.
  • They are marketed together.

Medicaid Historical Legislation
  • US historical link
  • http//
  • NC historical link (1992 Medicaid for Children
    renamed Health Check)
  • http//

  • In 1998, in addition to a states Medicaid
    program, federal legislation created health
    insurance program for children up to age 19,
    known as the State Childrens Health Insurance
    Program (SCHIP). The NC General Assembly named it
    NC Health Choice and created appropriation to
    cover children in families whose income is at or
    below 200 of the Federal poverty level and do
    not qualify for Medicaid.
  • In NC, the application is the same as states
    Medicaid program.
  • In 2009, the act was reauthorized (CHIPRA)
    funding states to continue CHIP and allowed for a
    number of changes. In NC, the one change
    implemented was to allow children with
    lawful-permanent residency status to be able to
    apply (previously they had a 5-year waiting

Why market the two programs together?
  • Family doesnt know what program their children
    will qualify for until they apply.
  • Children may cross over from Health Check to NC
    Health Choice as they age.
  • Families may have children in different programs.
  • As a familys income changes, their children may
    go back and forth between programs.

200 (44,700) 100 (22,350) An
nual income for a family of 4
Poverty Level ()
NC Health Choice Income Guidelines
Health Check Income Guidelines as of
April 1, 2011
0 1 6
18 Age (years)
What are the benefits?
  • Well-child Checkups
  • Sick Visits
  • Medicines
  • Immunizations
  • Vision Hearing Care
  • Dental Care
  • Lab Tests
  • Counseling
  • Medical Equip Supplies
  • Hospital Care
  • Therapies
  • Surgery

Additional benefits may be available for children
with Special Health Care Needs. Call
1-800-737-3028 for more information.
How can a family determine if their child is
likely to qualify?
Income guidelines (Valid 4/1/11)
Family Size Monthly Income Before Taxes
2 2,452
3 3,089
4 3,725
5 4,362
6 Add 637 for each additional family member.
Children from families who earn more may qualify
if they have child care, work-related or child
support expenses.
In addition
  • For both programs, a child must
  • Be a N.C. resident
  • Be under age 19 (21 in some cases)
  • Be eligible based on family income
  • Provide or apply for a Social Security number
  • And, for children who are U.S. citizens, provide
    documentation of citizenship and identity.

  • Be over age 6 and under age 19
  • Be income ineligible for Health Check (Medicaid)
  • Be uninsured on the day coverage starts (your
    local Department of Social Services can give you
    more information)
  • Have paid the N.C. Health Choice enrollment fee,
    if required

For NC Health Choice, a child must
Is a child of immigrant parents eligible?
  • Yes, if the child is born in the USA and they
    qualify based on the familys income and
    residency status.
  • A social security number must be provided for the
    child or proof that a social security number has
    been requested.
  • Maybe, if the child was born abroad.
  • It depends on the immigration status of the
    child. Check with the local Department of Social
    Services to find out.
  • Children (and pregnant women) who have Lawful
    Permanent Resident immigration status (a variety
    of Visas) now have no waiting period. Before
    July 1, 2010 there had been a 5-year
    disqualification from Medicaid for LPR.
  • Applicant must meet all the regular income and
    residency requirements.
  • Note
  • Parents DO NOT hurt their chances for
    naturalization by applying for childrens health

How much does coverage cost?
  • Health Check (Medicaid)
  • No annual enrollment fee
  • No co-pays
  • N.C. Health Choice
  • Annual enrollment fee depends on the
  • familys income.
  • Some families have NO annual enrollment fee
  • Some families pay 50 per child or 100 for 2 or
    more children
  • Co-pays are small depend on the familys
  • Families who have NO annual enrollment fee also
    have no co-pays except for a small prescription
    drug co-pay.
  • Parents NEVER have a CO-PAY for
  • check-ups
  • shots

How can a family obtain an application for
Health Check (Medicaid)/NC Health Choice?
  • To get an application, families can
  • Go online to Visit the
    FOR THE PUBLIC section and click on the Child
    Health Insurance link
  • For help completing the application, families
  • Go to the local department of social services
    (DSS). They can help the family fill out the
    application accept it when it is completed.

What if the family completes the application on
their own? Then what?
  • Families can mail or take the completed
    application to their local Department of Social
    Services. Remind them to
  • Attach copies of wage stubs or proof of income
    for the previous month.
  • For children who are U.S. Citizens, the DSS will
    also need proof of their citizenship and
    identity. The DSS can help families verify
    citizenship and identity. However, it will help
    speed the process if the family can bring a copy
    of each childs
  • birth certificate
  • social security card
  • proof of identity (government issued photo ID or
    school, medical or hospital record with name and
    date of birth)
  • For immigrant children who are Lawful Permanent
    Residents, the family should provide US
    Citizenship and Immigration Services (USCIS)
    documents that prove their status plus proof of
    identity, state residency and social security
  • Include a phone number where the DSS worker can
    call if they have a question!
  • Social Services will notify the family by mail to
    let them know if they qualify. This can take up
    to 45 days.
  • If they qualify they will get an insurance card
    and benefits booklet in the mail.

Help families stay enrolled!
  • Remind families that they must RE-ENROLL each
  • A re-enrollment packet will arrive in the mail.
  • Families must let their local Department of
    Social Services know if they move!

Community-Based Organizations Partners in
meeting CLAS
  • With growing concerns about racial and ethnic
    disparities in health and the need for health
    care systems to accommodate increasingly diverse
    patient populations, cultural competence has
    become more and more a matter of national concern
    and attention. https//www.thinkculturalhealth.or
  • Hispanics In PhilanthropyNC Latino Grantees
  • http//
  • National Council on Interpreting in Health Care
  • http//
  • National Center for Cultural Competence
  • NC Refugee Assistance Program
  • http//

What Resources Are Available?
For More Information
  • A "Partnership Page" offers a one-stop-shop for
  • folks need to help with child health insurance
  • http//
  • Provides links to
  • Health Check / NC Health Choice Orientation PPT
  • NC Healthy Start Foundation Online Catalog
  • NC Healthy Start Foundation Online Order Form
  • HC/NCHC Application in English
  • HC/NCHC Application in Spanish
  • List of Local DSS Addresses and Phone Numbers
  • Directory of Health Check Coordinators
  • Child Health Insurance Web Page (For the Public)
  • Note Save this link on your desktop you will
    have easy
  • access to everything needed!

For more information
  • For Questions About Health Check/NC Health Choice
  • Norma Martí 919-707-5643 or
  • For Questions About Ordering Materials
  • NC Healthy Start Foundation
  • 919-828-1819 or http//

  • Public service announcement
  • Health Check/NC Health Choice health insurance
    for children

  • Healthy and Ready to Learn initiative

  • N.C. Healthy and Ready to Learn Initiative
  • Funding through Childrens Health Insurance
    Program Reauthorization Act (CHIPRA)
  • Original CHIP Federal legislation in 1997
  • North Carolina legislature created NC Health
    Choice for Children
  • Robert Wood Johnson Foundations Covering Kids
    grants to states
  • NC moves NC Health Choice children under age 6
  • into Medicaid in 2006
  • Federal Reauthorization in 2009 (Outreach
    Enrollment grants)
  • Vision for health care reform
  • Implementation of the Patient Protection and
    Affordable Care Act in North Carolina
  • Model of outreach efforts to reach uninsured
  • Best practices and lessons learned

  • N.C. Healthy and Ready to Learn Initiative
  • School-targeted outreach and enrollment effort
    to register all eligible and uninsured children
    entering public kindergarten into Health Check or
    NC Health Choice under auspices of the CHIPRA
  • Partnership of Physicians, School Nurses, SHACs,
    State Agencies (DPI, DPH, DMA), Local Education
    Agencies, and Community-based Organizations, HRL
    Steering Committee has 40 members, supported by
    the Office of Governor and the State
  • Identifies uninsured kindergarten students
    through the Kindergarten Health Assessment form
  • Year 1 Pilot outreach in 16 high-need counties
  • Year 2 Statewide outreach, focus in 32 more
    counties to include pre-K and K students

Healthy Ready to Learn Initiative Child Health
Insurance Grantee Schools, Year 1 2
Includes Elkin City Mount Airy City
Includes Lexington City Thomasville City
Includes Weldon City Roanoke Rapids
Includes Asheboro City
Includes Mooresville City
Surry 11
Rockingham 17
Vance 10
Halifax 11
Includes Asheville City
Wilkes 13
Forsyth 42
Guilford 69
Alamance 21
Durham 29
Nash 17
Caldwell 16
Edgecombe 5
Iredell 21
Martin 5
Pitt 20
Davidson 22
Burke 17
Wilson 14
Randolph 23
Catawba 25
Rowan 20
Harnett 12
Buncombe 26
Johnston 22
Cabarrus 24
Rutherford 1o
Lee 8
Montgomery 5
Wayne 15
Cleveland 18
Gaston 29
Stanly 16
Lenoir 8
Craven 15
Cherokee 7
Cumberland 48
Includes Hickory City Newton Conover City
Anson 6
Union 29
Richmond 9
Duplin 8
Sampson 9
Scotland 9
CONTACT Ania Boer, Project Director,
(, 919-839-1156) Laura Brewer
(, 910-865-5507) Cleveland,
Columbus, Cumberland, Davidson, Gaston, Randolph,
Robeson, Rutherford New Counties Brunswick,
Buncombe, New Hanover, Bladen, Scotland,
Richmond, Anson, Union, Cherokee,
Montgomery Betty Macon (,
252-822-3340) Edgecombe, Halifax, Harnett,
Lenoir, Pitt, Vance, Wayne, Wilson New
Counties Lee, Johnston, Nash, Craven, Martin,
Sampson, Duplin, Onslow, Durham India Foy
(, 336-617-6628) New Counties
Burke, Caldwell, Catawba, Iredell, Rowan,
Cabarrus, Stanly, Alamance, Guilford, Rockingham,
Forsyth, Surry, Wilkes
Onslow 19
Includes Kannapolis City
Robeson 23

Bladen 7
Columbus 10
New Hanover 24
Includes Clinton City
Brunswick 9
Includes Whiteville City
-Year 1 278 schools (22 LEAs) -Year 2 567
schools (40 LEAs) Total of 845 schools in 48
counties (62 LEAs)
Healthy Children Learn Better!
  • More alert
  • More focused on learning
  • Miss less school
  • Learn healthy behaviors to prevent the leading
    causes of death in NC heart disease, stroke and
  • Source Robeson County SHAC presentation

Kindergarten Health Assessment Form
Kindergarten Health Assessment Form
Kindergarten Health Assessment Form
  • Form is often NOT filled out completely when it
    arrives at schools
  • Frequently, parents do not fill their part due to
    low literacy levels or not realizing it is their
  • Important to fill out form completely so the
    school staff has an entire record on child's
  • Back side- under Parent Complete- identifies
    children who do not have health coverage

  • Healthy and Ready to Learn partners
  • Steering Committee members
  •  Mary Jane Akerman, Wellness Coordinator,
    Thomasville City Schools
  • LaTasha Bennett, Information and Communication
    Specialist, NC Community Health Center
  • Ania Boer, Laura H. Brewer, India Foy, Betty
    Macon, NC Pediatric Society Foundation
  • Clementine Buford, President, School Nurse
    Association of North Carolina
  • John Dervin, Policy Advisor, NC Office of
  • Nicole Dozier, Assistant Project Director, NC
    Justice Center Health Access Coalition,
  • Marian Earls, MD, Past President, NC Pediatric
  • Linda Faulkner, Program Consultant, Medicaid
    Eligibility Unit, Division of Medical Assistance
  • Janice Freedman, Executive Director, Erica
    Payton, NC Healthy Start Foundation
  • Jessica Gerdes, School Health Nurse Consultant,
    NC Division of Public Health
  • Dan Gitterman, Senior Policy Advisor, NC Office
    of the Governor
  • Gary Henry, Director, Carolina Institute for
    Public Policy, University of North Carolina at
    Chapel HIll
  • Mark Holmes, Senior Research Fellow, Cecil G.
    Sheps Center for Health Services Research, UNC
  • Lynn Harvey, Child Nutrition Services Director,
    NC Department of Public Instruction
  • Robin Lane, Pediatric, Nurse Practitioner,
    Outstanding Kids Inc.
  • Jade Marcus, Research Fellow, Rebecca Zulli,
    Project Manager, Carolina Institute for Public
    Policy at UNC

  • Healthy and Ready to Learn Steering Committee
    member list - continued
  • Danielle Matula, Norma Marti, NC DHHS/DPH
  • Chris Minard, Allied Health Consultant, Division
    of Public Instruction
  • Ben Money, Executive Director, NC Community
    Health Center Association
  • Lena Murill-Chapman, President of Student
    Services Division, NCAE
  • Katrilla Ragin, Health Check Consultant, Division
    of Medical Assistance
  • McAllister Ross Myhra, Director of Operations,
    John Rex Endowment
  • Kevin Ryan, MD, Chief of Women's Children's
    Health Section, NC DHHS/Division of Public Health
  • Carolyn Sexton, NC DHHS/Division of Public Health
  • Gary Skinner, Catholic Charities of the Diocese
    of Raleigh
  • Steve Shore, Executive Director, NC Pediatric
  • Carol Tant, Head of Children Youth Branch, NC
    DHHS/Division of Public Health
  • Susan Vaudreuil, Health Check Coordinator, NC
    Access Care
  • Tom Vitaglione, Senior Fellow Health and
    Safety, Action for Children NC
  • Wendy Ward, Project Director, Exceptional
    Childrens Assistance Center
  • Ann Ward, Local Partnerships Support Specialist,
    Smart Start
  • Margaret Watts, John York, Field Staff
    Supervisor, NC Division of Medical Assistance

  • School Nurses School Health Advisory Councils
  • School nurses
  • -Link to children and families
  • -Integral component to identifying eligible and
    uninsured children using the Kindergarten Health
    Assessment form
  • SHACs
  • -Assistance from local healthcare entities,
    community and faith-based organizations that
    interact with children and families

Coordinated School Health Approach
HRL Project School Nurses and SHACs
  • Collaborative effort is a key!
  • Collaborative effort between school nurses,
    student support services staff and School Health
    Advisory Council is a key to helping students
    stay healthy and learn better
  • HRL School Partners
  • Use existing communication channels and
    partnerships to promote childrens health
  • Implement a few outreach ideas at school from a
    menu of school outreach strategies developed
  • Link Healthy and Ready to Learn to existing
    school community priorities

  • Head Start Collaboration
  • Letter to local directors sent from the NC State
    Head Start
  • Orientation Webinar
  • Action Steps developed after conducting a survey
  • Add HC/NC Health Choice to Health Services
    Advisory Committee (HSAC) meetings agendas,
  • Invite the HRL Local Community Coordinator to
    HSAC meetings
  • Provide a HC/NC Health Choice booth at
    registration events during summer/year round

  • Pediatric Providers
  • Orientation Webinar for Pediatric Providers
  • Authority figure providers in pilot counties
    asked to submit the prepared op-ed article to
    local media
  • Collaboration to assure KHA forms are completed
  • (it will reduce repeat visits for providers and
    cost to parents)
  • Discuss importance of completion of Personal
    Data with parents
  • Offer NCHC/HC as a resource for children's health

Dr. David Hill
  • Catholic Charities
  • Presentation to orient Catholic Charities Case
    Managers about HRL initiative.
  • HRL Local Community Coordinators met with staff
  • include in conversations with families and
    community partners
  • use as a resource during parenting programs,
    self-sufficiency trainings
  • offer as a resource in early childhood centers,
    free clinics, Catholic elementary schools
  • post in bulletin boards, newsletters

  • Smart Start
  • HRL orientation webinar for Smart Start
    Executive Directors and staff (36 participated)
  • Action steps created for Smart Start staff to
    assist with helping uninsured families enroll in
    NC Health Check
  • Collaboration with Durham Partnership for
    Children (as a model)
  • HRL and Smart Start collaborations already
    initiated and ongoing in some counties

  • NC Parent Teacher Association (NC PTA)
  • The NC PTA is already involved in child health
    insurance outreach in some local areas
  • Article has been published in their statewide NC
    Parent-Teacher Bulletin and emailed to 1,075
    PTAs across the state reaching over 165,000
  • Articles have also been published in their
    Parent Resource Handbook for PTA Presidents
  • There are links from the NC-PTA web site to CHI
    web pages
  • Exhibiting the HRL and CHI program at the NC
    PTAs Annual Parent Education Conference to be
    held on May 14, 2011 in
  • Fayetteville, NC

Examples of school-based child health insurance
(CHI) outreach strategies to implement at your
  • Use existing health status assessments
  • Send HC/NCHC envelope stuffer home with every
    child, along with a response form to be returned
    to the childs teacher (available from the
    School Partnership link above).
  • Ask parents to indicate the childs current
    insurance status on school forms. Have them sign
    it, provide contact information, and ask if they
    want to receive a HC/NCHC application form
  • Existing communication infrastructures
  • Use school voice mail systems to communicate a
    message to all parents or a targeted group of
    parents like those whose children qualify for
    F/RP School Meals, or who have newly enrolled
  • Home-schooled children may have a list serve that
    can be utilized to reach that population of

Examples of school-based child health insurance
(CHI) outreach strategies to implement at your
  • School-produced materials and forms
  • Use Parent/Student Handbooks as an opportunity to
    educate about CHI. (Information has been scripted
    for use in such a resource, see School
    Partnership link). If the parent has to sign a
    document that they reviewed in the Handbook, then
    a check box could be added to the form for
    parents to indicate if they would like further
    information or to be contacted about CHI.
  • Ask about insurance status through School
    Registration, Sports Physicals, and other forms
    to promote CHI and follow up as appropriate.
    Include where to turn for more information or go to local department
    of social services.

For More Information
  • A "School Partnership Page" offers a
    one-stop-shop for everything you need to do for
    child health insurance outreach
  • http//
  • Provides links to
  • School-Based Child Health Insurance Outreach
    "Menu of Strategies"
  • Tools to Support Implementation of the "Menu of
  • Health Check / NC Health Choice Orientation PPT
  • NC Healthy Start Foundation Online Catalog
  • NC Healthy Start Foundation Online Order Form
  • HC/NCHC Application in English
  • HC/NCHC Application in Spanish
  • List of Local DSS Addresses Phone Numbers
  • Directory of Regional Health Check Coordinators
  • Child Health Insurance Web Page (For the Public)
  • NC Pediatric Society Foundations Healthy Ready
    to Learn Initiative Web Page
  • Note Save this link on your desktop you
    will have easy access to everything needed!

YOU can make a difference! 10 HRL Actions Steps
  1. Share information about the Healthy and Ready to
    Learn and child health insurance programs, Health
    Check/ NC Health Choice, with school staff and
    all your SHAC members (This PowerPoint will be
    posted at under
  2. Order free (English/Spanish) outreach materials,
    i.e. fact sheets (D4, D4BR), envelope stuffers
    (D3), applications (D6E, D6S) and poster (D5)
    from, click on Order. For
    other languages, check http//www.nchealthystart.
  • Make sure ALL information on the KHA form is
    complete and follow up on families who dont fill
    out their part.
  • 4. Hang a HC/NCHC poster so that families can see

YOU can make a difference! HRL Actions Steps
  • Have outreach materials on hand and distribute
    them to families who mark no insurance on the
    KHA form or dont mark anything after your
    attempts. Please share a flier with income
    guidelines (fact sheet or envelope stuffer), an
    application, and the address of local DSS.
  • 6. Consider following up with families to see
    if they need help enrolling and offer them
    resources such as and
    local DSS.
  • 7. Build on existing infrastructure and implement
    a few outreach ideas in your school system from
    School-based child health insurance outreach
    strategies. For example, share materials during
    kindergarten registration events or parent
    orientations, or place a simple message to
    parents on your schools voice system.
  • If your school has a Pre-K program, please
    reach out to families of 4-year old children.
  • 8. Please keep track of the number and race of
    the families you assist. Every quarter, we will
    ask for an approximate number of families you
    have reached.

YOU can make a difference! Actions Steps
  • Call us if you need help with ordering materials,
    scripting a message, need a cover letter to send
    to families, or want us to mail you fliers with
    DSS addresses by county.
  • Local Community Coordinators for HRL are
  • Laura H. Brewer (south/west region, office in
    Robeson County),, 910-865-5507,
    and Betty Macon (north/east region, office in
    Halifax County),, 252-822-3340,
    and India Foy (central/western region, office in
    Guilford County),,
  • 336-617-6628.
  • Visit for outreach
    tools and resources!
  • 10. Share your success stories with us!

Healthy and Ready to Learn Initiative Local
Community Coordinators
Project Director Ania Boer, ME, MA 1100 Wake
Forest Road, Ste 200 Raleigh, NC 27604 919
839-1156 FAX 919-839-1158
C Central Region India Foy, MPH Greensboro,
NC 336-617-6628
NE Northeast Region Betty Macon Roanoke Rapids,
NC. 252-822-3340
S SW Southern Southwestern Region Laura H.
Brewer St. Pauls/ Lumberton 910-865-5507 laura_at_ncp
December 2010
  • North Carolina Pediatric Society Foundation
  • Healthy and Ready to Learn initiative team
  • Steve Shore, MSW, Executive Director, NCPS-F
  • Ania Boer, ME, MA, Project Director,
  • Laura Brewer, Local Community Coordinator for
    south/western region
  • (office in Robeson County),,
    (910) 865-5507
  • India Foy, MPH, Local Community Coordinator for
    central/western region
  • (office in Guilford County),,
    (336) 617-6628
  • Betty Macon, Local Community Coordinator for
    northeastern region
  • (office in Halifax County),,
    (252) 822-3340
  • 1100 Wake Forest Road, Suite 150
  • Raleigh, NC 27604
  • Phone (919) 839-1156
  • Fax (919) 839-1158

  • Thank you for your support of the
  • Healthy and Ready to Learn Initiative!
  • QA