HIPAA compliant, BAA available

Measurement-Based Care for North Carolina Care Teams

For Tailored Plan network providers, primary care practices running collaborative care, community agencies and private practices from the mountains to the Outer Banks. Validated rating scales go out by email or QR code, come back scored, and build a running record of each client's progress. US customer data stays in Google Cloud US regions.

Schedule a WalkthroughBrowse assessments
HIPAA compliant, BAA available
Hosted in the US
SOC 2 Type II
Scored when submitted
100+
validated assessments
BAA
signed for HIPAA covered entities
US
cloud regions holding US data
$25
per month

North Carolina Already Measures Outcomes

  • Since July 2005, the Division of Mental Health, Developmental Disabilities and Substance Use Services (DMH/DD/SUS) has run NC-TOPPS, the system it uses to measure the quality of publicly funded mental health and substance use services and their effect on people's lives. Under the 2025-2026 guidelines, interviews are required for every consumer aged six and over who is admitted to a Tailored Plan and starts qualifying services: one at the start of an episode of care, updates at 3, 6 and 12 months, and one at the end.

    NC Medicaid adds a scale-based layer. Its December 2025 collaborative care bulletin, which applies to NC Medicaid Direct and NC Medicaid Managed Care, lists administering validated rating scales, tracking each beneficiary in a registry and monitoring outcomes with validated rating scales among the required elements. Its 2025 managed care quality strategy includes Screening for Depression and Follow-Up Plan for Standard Plans and Tailored Plans, and names it among the first measures for its move to digital quality measures.

    NC-TOPPS interviews are not symptom scales, so most teams use both. HiBoop handles the scale side: the PHQ-9, GAD-7 and other validated measures sent between visits, scored on submission, and listed per client in a view that works as a collaborative care registry. NC-TOPPS interviews stay in the state's own system; HiBoop does not submit anything to it.

  • NC-TOPPS Since 2005

    Required interviews at the start, at 3, 6 and 12 months, and at the end of publicly funded care

  • Validated Rating Scales in CoCM

    A required element of NC Medicaid's collaborative care coverage, with a registry, as of December 2025

  • Depression Screening Goes Digital

    Screening for Depression and Follow-Up Plan is an initial focus of the 2025 quality strategy's digital measures

All regions

What HiBoop Handles for North Carolina Practices

  • North Carolina runs Medicaid behavioural health through Standard Plans and LME/MCO Tailored Plans and pays for collaborative care. HiBoop takes care of sending, scoring and tracking the scales; the treatment decisions stay with your clinicians.

  • Rating Scales at Every Contact

    Send the PHQ-9 or GAD-7 before an intake or a care manager call and the score is waiting when you open the record, so the first conversation starts from a number.

  • A Registry View for Collaborative Care

    See every enrolled client with their latest score and when it was taken, so the behavioural health care manager can spot who is not improving before the psychiatric consultant's case review.

  • Outcome Histories You Can Export

    Each client's scores export as CSV or PDF, ready for a chart note, a plan review with your LME/MCO or your own quality reporting.

  • Mental Health and Substance Use in One Library

    Tailored Plans cover serious mental illness and substance use disorders. The ASSIST, TAPS and PCL-5 sit beside the mood scales for clients with co-occurring needs.

  • Built for Agencies and Group Practices

    Team and Network plans put every clinician, care manager and site in one account, with role-based permissions controlling who sees each record.

  • Screens for Children and Teens

    For pediatric and school-age work, HiBoop includes the PHQ-A, SCARED, CRAFFT-2.1 and NICHQ Vanderbilt, scales families can complete on a phone before the visit.

Mental health in North Carolina

Research data

  • Each figure below links to the source it comes from.

  • 21.4%

    of North Carolina adults had any mental illness in the past year (model-based annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 15.9%

    of North Carolinians aged 12 to 17 had a major depressive episode in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 23.1%

    of North Carolina adults received mental health treatment in the past year (2024)

    SAMHSA NSDUH, 2024

Research from North Carolina

  • Collaborative care billing in Medicaid

    After NC Medicaid began reimbursing collaborative care codes in October 2018, only 915 of an estimated two million eligible beneficiaries had at least one collaborative care claim through December 2019, with a median of two claims per patient.

    Copeland et al., Psychiatric Services, 2022 PMID 35734864

  • Statewide telepsychiatry in emergency departments

    In emergency department records for 86,931 patients with psychiatric symptoms, 62% of those staying more than 2 days were discharged home when the North Carolina Statewide Telepsychiatry Program was available, compared with 43% when it was not.

    Kothadia et al., Psychiatric Services, 2020 PMID 33019858

  • Postpartum depression screening (EPDS)

    In a review of 512 charts from the University of North Carolina's academic obstetric clinics, providers documented the Edinburgh Postnatal Depression Scale score at 39% of visits and counselled on the score or on depression at 35%.

    Delatte et al., American Journal of Obstetrics and Gynecology, 2009 PMID 19285644

  • Health care contact before suicide

    Linking NC Medicaid claims with the state's violent death reporting system for suicide decedents aged 25 to 54 from 2014 to 2017 (175 men, 153 women), over 70% had a health care visit in the 90 days before death.

    Caves Sivaraman et al., BMC Psychiatry, 2022 PMID 35144585

  • Primary care medical homes and serious mental illness

    In North Carolina Medicaid claims from 2004 to 2007 for adults with schizophrenia, bipolar disorder or major depression, medical home enrollees had greater use of primary and specialty mental health care, better medication adherence and less emergency department use than matched controls.

    Domino et al., Psychiatric Services, 2015 PMID 25686809

Programs and Rules That Shape North Carolina Care

  • HiBoop is independent of all of these and does not connect to NC-TOPPS, NCTracks or any health plan. This is the background your LME/MCO, auditors and board will expect you to know.

  • NC-TOPPS

    Since 2005

    The North Carolina Treatment Outcomes and Program Performance System collects interviews from consumers aged six and over receiving publicly funded mental health or substance use services, at the start, during and at the end of an episode of care. DMH/DD/SUS, Tailored Plans and providers use its data to improve services, and it supports federal outcome reporting.

    Required interviewsTailored PlansFederal reporting

  • NC Medicaid Managed Care

    Standard and Tailored Plans

    Most beneficiaries moved to Standard Plans on 1 July 2021, alongside the EBCI Tribal Option. Behavioral Health and Intellectual/Developmental Disability Tailored Plans, run by the LME/MCOs, launched on 1 July 2024, and Medicaid expansion made about 600,000 more residents eligible from 1 December 2023.

    Standard PlansTailored PlansExpansion

  • Collaborative Care Coverage

    99492 to 99494, G2214

    NC Medicaid covers psychiatric collaborative care in Medicaid Direct and Managed Care. 99494 can be billed up to four times a month and only with 99492 or 99493, and G2214 cannot be billed in the same month as those codes. For children and young people under 21, Health Check pays 96127 for structured emotional and behavioural screens, up to two units per visit with the EP modifier.

    CoCMRegistry96127 with EP

  • CCBHCs and Licensing

    DMH/DD/SUS

    North Carolina received a SAMHSA CCBHC planning grant in March 2023, funds five CCBHC grantees, and is preparing to apply for the federal demonstration in 2026. Counsellors are licensed by the North Carolina Board of Licensed Clinical Mental Health Counselors and social workers by the North Carolina Social Work Certification and Licensure Board.

    CCBHC planningLCMHCLCSW

Care Teams Throughout North Carolina

  • HiBoop is browser-based, so the same scales reach a Raleigh group practice and a client in the far west. Each line names the LME/MCO that NCDHHS lists for the area; there is one LME/MCO for each county.

  • The Triangle

    Alliance Health serves Wake, Durham, Orange, Johnston and Harnett counties.

  • Charlotte and Fayetteville

    Alliance Health also serves Mecklenburg and Cumberland counties.

  • The Triad

    Trillium Health Resources serves Guilford and Randolph, while Forsyth and Davidson are with Vaya Partners.

  • Asheville and the Mountains

    Vaya Partners serves Buncombe, Watauga, Haywood and the other western counties.

  • Qualla Boundary

    The EBCI Tribal Option, launched in July 2021, is offered mainly in Cherokee, Graham, Haywood, Jackson and Swain counties.

  • Eastern North Carolina

    Trillium Health Resources, based in Greenville, serves eastern counties including Pitt, Wayne, Wilson, Edgecombe, Nash and Lenoir.

  • Wilmington and the Outer Banks

    Trillium serves the coast from New Hanover, Brunswick and Onslow up to Dare County, where check-ins by email or QR code spare clients long trips between visits.

Data sovereignty

Why North Carolina clinics choose HiBoop

  • Built for North Carolina Teams

    • Data for US clinics stored in Google Cloud US regions and encrypted in transit and at rest
    • HIPAA compliant, a BAA for covered entities, and SOC 2 Type II certified
    • A log of every view and export of client data, plus access set by role
    • Care is $25/month for one clinician, month to month, with no credit card required to start
    • Clients answer on their own phones, through an emailed link or a QR code at check-in

  • USD pricing & support

    Transparent pricing in USD with flexible payment options for clinics of every size.

    Care
    For one clinician, billed monthly
    $25
    USD/month
    Team
    Starting price, any number of clinicians
    $200
    USD/month
    Network
    For multi-site organizations
    Custom
    Enterprise pricing

100+ validated scales for North Carolina clinics

  • Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.

  • Depression and Anxiety

    • PHQ-9 (Depression)
    • GAD-7 (Anxiety)
    • PHQ-8 (Depression, without item 9)

  • Suicide Risk, Trauma and Substance Use

    • C-SSRS Screener (Suicide Risk)
    • PCL-5 (PTSD)
    • ASSIST (Substance Involvement)
    • TAPS (Tobacco, Alcohol and Other Substances)

  • Children and Adolescents

    • PHQ-A (Adolescent Depression)
    • SCARED (Child Anxiety)
    • NICHQ Vanderbilt (ADHD)
    • CRAFFT-2.1 (Youth Substance Use)
Browse all assessments

North Carolina Confidentiality and Consent

  • HIPAA applies everywhere. North Carolina adds Chapter 122C of its General Statutes, which governs confidential information in mental health, developmental disability and substance use services, and a statute on what minors can consent to. These rules bind your organization; no software is certified against them, and HiBoop's job is to give you safeguards that help.

  • What North Carolina law expects

    • Treat information acquired in attending or treating a client as confidential and not a public record, disclosing it only as G.S. 122C-53 to 122C-56 allow; an unauthorized disclosure is a Class 3 misdemeanour (G.S. 122C-52)
    • Share a client's confidential information with another facility only when necessary to coordinate appropriate and effective care, within the limits G.S. 122C-55 sets
    • Know that a minor may consent to a licensed physician for the prevention, diagnosis and treatment of emotional disturbance, but not to admission to a 24-hour facility except as G.S. 122C-223 provides (G.S. 90-21.5)
    • Keep HIPAA safeguards and breach notification in place, with a business associate agreement from each vendor that handles protected health information

  • What HiBoop provides

    • A business associate agreement, signed for HIPAA covered entities
    • Storage in Google Cloud US regions for US clinics, encrypted in transit and at rest
    • Logging of every view and export, with role-based access to each record
    • SOC 2 Type II certification, with the controls described on our trust page

  • Need HiBoop reviewed by your privacy officer?

    Our trust page explains hosting, encryption, access controls and our SOC 2 Type II report. Get in touch for a BAA or a completed security questionnaire.

    See the trust centre

Grants & funding for North Carolina mental health clinics

Funding Guide

  • Public and private funding programs that support measurement-based care implementation.

  • NC Department of Health and Human Services - BH Division

    NCDHHS Behavioral Health Transformation Grants

    Tech eligible

    NCDHHS has been a highly active CCBHC expansion state with significant grant funding for behavioral health transformation, technology adoption, and outcome measurement infrastructure. Local Management Entities / Managed Care Organizations (LME-MCOs) distribute state and federal BH transformation funds. NC is a priority state for practices pursuing CCBHC designation and digital health grants.

    Varies; LME-MCO distributedLearn more

  • SAMHSA — Substance Abuse and Mental Health Services Administration

    Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants

    Tech eligible

    SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.

    $1M–$5M/yearLearn more

  • SAMHSA

    Mental Health Block Grant (MHBG)

    Tech eligible

    States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.

    State-distributedLearn more

  • SAMHSA

    Primary and Behavioral Health Care Integration (PIPBHC)

    Tech eligible

    SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.

    $500K–$900K/yearLearn more

  • HRSA — Health Resources and Services Administration

    Rural Health Network Development Program

    Tech eligible

    HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.

    $250K–$500K/yearLearn more

  • HRSA

    Behavioral Health Workforce Development Program

    Tech eligible

    Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.

    $250K–$1MLearn more
View all grants & funding

Resources for North Carolina practitioners

North Carolina Policy, Billing and Legal Resources

Latest in mental health in California

Crisis and urgent help lines

More crisis lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • Does North Carolina require outcome measurement?

    For publicly funded mental health and substance use care, yes, through NC-TOPPS interviews at set points in each episode of care. If you bill NC Medicaid for collaborative care, the coverage also requires validated rating scales and a registry. Outside those programs, we found no North Carolina rule requiring outpatient clinicians to use symptom scales, though your plan contract may set its own expectations.

  • Can HiBoop complete NC-TOPPS interviews for us?

    No. NC-TOPPS is the state's own system and HiBoop does not connect to it or to NCTracks. HiBoop sends and scores validated scales, tracks each client's results and exports them, which covers the rating-scale and registry side of collaborative care and your own outcome reviews.

  • Can a minor in North Carolina consent to mental health care without a parent?

    G.S. 90-21.5 lets any minor consent to a licensed physician for the prevention, diagnosis and treatment of emotional disturbance, but not to admission to a 24-hour facility except as G.S. 122C-223 allows. The statute speaks of physicians, so ask your counsel how it applies to other licensed clinicians and to sharing a young client's scores. HiBoop's role-based access lets you restrict who sees them.

  • Is HiBoop HIPAA compliant for North Carolina providers?

    Yes. HiBoop is HIPAA compliant, and we sign a business associate agreement with covered entities. Chapter 122C adds North Carolina's own confidentiality rules for mental health and substance use services, which your organization applies; check specific disclosures with your counsel.

Official sources for North Carolina

  • Billing and payment routes

    1. 1.NC Medicaid fee schedules · fee schedule
    2. 2.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
    3. 3.CMS Physician Fee Schedule look-up · fee schedule
    4. 4.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program

    Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.

    Regulators and licensing

    1. 1.North Carolina Medical Board · physicians
    2. 2.North Carolina Psychology Board · psychologists
    3. 3.ASPPB: psychology licensing boards · psychologists
    4. 4.ASWB: social work regulatory boards · social workers
    5. 5.Counseling Compact · counsellors
    6. 6.Social Work Licensure Compact · social workers

    Data and statistics

    1. 1.SAMHSA: NSDUH state reports
    2. 2.HRSA: HPSA Find (mental health shortage areas)
    3. 3.NIMH: mental illness statistics

    Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.