Northern Piedmont Community Care History

Established in 1998, Northern Piedmont Community Care began as the Durham Community Health Network (DCHN), and is a community-based managed care program for Community Care of North Carolina (CCNC). CCNC, formerly known as Access II and Access III, is comprised of enrollees funded by the State of North Carolina. 

Since 1998, DCHN has expanded from Durham County to include Community Care Partners for Vance, Warren, Person, Franklin and Granville counties. In 2004, DCHN and  Community Care Partners for Vance, Warren, Person, Franklin and Granville became Northern Piedmont Community Care (NPCC), one of 14 networks operating throughout the state. 

NPCC supports a single team, based in the community, to work with Medicaid patients in their homes and neighborhoods and focuses on population management for medically high cost and high risk Medicaid patients.   This team supports these patients and their families to meet the recommendations of their primary care providers, assisting and connecting them with available resources.


In January 2001, incoming Governor Mike Easley appointed Carmen Hooker Odom Secretary of Health and Human Services.  After a careful review, Sec. Hooker Odom determined that North Carolina's Medicaid programs, known as Access II and III should be expanded statewide as the major initiative to manage Medicaid cost and quality and renamed the program Community Care of North Carolina.

The next four years saw the expansion of local networks to adjoining counties and the organization of new networks covering the majority of North Carolina.

As of May 2011, 14 Community Care networks cover all 100 counties in the state, serving more than one million enrollees (1,000,024 Medicaid recipients and 70,000 low-income uninsured residents through the HealthNet Program).

Read more details about the History of Community Care of North Carolina.