{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T17:19:49Z","timestamp":1785431989567,"version":"3.56.0"},"reference-count":7,"publisher":"North Carolina Institute of Medicine","issue":"1","license":[{"start":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:00:00Z","timestamp":1745971200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Hurricane Helene left many communities in Western North Carolina with a wide range of needs for immediate relief and long-term recovery. To address needs related to health care access for individuals enrolled in Medicaid, the North Carolina Department of Health and Human Services (NCDHHS) established various temporary flexibilities, effective from September 26, 2024, through February 28, 2025.<\/jats:p>","DOI":"10.18043\/001c.137313","type":"journal-article","created":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T16:42:22Z","timestamp":1747413742000},"source":"Crossref","is-referenced-by-count":0,"title":["Hurricane Helene Relief and NCDHHS Medicaid Flexibilities"],"prefix":"10.18043","volume":"86","author":[{"given":"Brieanne","family":"Lyda-McDonald","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042eghf65","id-type":"ROR","asserted-by":"publisher"}],"name":"North Carolina Institute of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7507","published-online":{"date-parts":[[2025,4,30]]},"reference":[{"key":"ref1","article-title":"Hurricane Helene policy flexibilities to support providers and members","year":"2024","journal-title":"North Carolina Department of Health and Human Services"},{"key":"ref2","article-title":"Swing bed providers","journal-title":"Centers for Medicare & Medicaid Services"},{"key":"ref3","article-title":"North Carolina receives federal major disaster declaration for North Carolina","author":"NC Governor Roy Cooper","year":"2024"},{"key":"ref4","article-title":"Enrollment by county and budget groups SFY 2024","year":"2024","journal-title":"NC Medicaid; North Carolina Department of Health and Human Services -- Division of Health Benefits"},{"key":"ref5","article-title":"Healthy Opportunities Pilots","year":"2024","journal-title":"North Carolina Department of Health and Human Services"},{"key":"ref6","article-title":"North Carolina's Medicaid experiment is working. Here's how we know","author":"V. Nandagiri","year":"2024","journal-title":"Harvard Public Health"},{"key":"ref7","article-title":"North Carolina Hurricane Helene Public Health Emergency Section 1115(a) Demonstration","author":"US Department of Health & Human Services","year":"2025"}],"container-title":["North Carolina Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ncmedicaljournal.com\/article\/137313-hurricane-helene-relief-and-ncdhhs-medicaid-flexibilities","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T19:36:32Z","timestamp":1760988992000},"score":1,"resource":{"primary":{"URL":"https:\/\/ncmedicaljournal.com\/article\/137313-hurricane-helene-relief-and-ncdhhs-medicaid-flexibilities"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,30]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.18043\/001c.137313","relation":{},"ISSN":["2379-4313","0029-2559"],"issn-type":[{"value":"2379-4313","type":"electronic"},{"value":"0029-2559","type":"print"}],"subject":[],"published":{"date-parts":[[2025,4,30]]}}}