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Attention Providers Affected by Hurricane Helene: If your organization is facing challenges due to Hurricane Helene and need assistance with medical, personal care, or specialized supplies, we are here to support you.  Please reach out to Carolina Complete Health as we are coordinating relief efforts for providers in the affected areas of Western North Carolina.  Click Here for More Information.

Room-to-Breathe Asthma Program


Asthma can't be cured, but with proper care it can be controlled. The Room-to-Breathe asthma program can significantly improve children’s control of their asthma, decreasing admissions to the hospital, emergency room visits and frequency of aggravations. This care management program includes asthma supplies and education for Carolina Complete Health members ages 18 and under.

To get this Value-Added Service, please fill out the form below. A Care Manager can determine what supplies you might be eligible for up to $300.  This could include a portable air conditioner, vacuum cleaner, cleaning supplies, hypoallergenic bedding, air purifier, and more.

Eligibility Statement: Eligibility requirements apply based on Care Management team health risk assessment. You must be a current Carolina Complete Health member to receive this Value-Added Service.

Note: Please allow a minimum of 14 days for review and processing of your request.  If you need immediate support, please call us at 1-833-552-3876 (TTY 711). This Value-Added Service requires the recipient or a responsible party to sign for the delivery of their package. 

ROOM TO BREATHE REQUEST FORM

As it appears on your Medicaid ID card if Member
Enter Member ID of member aged 18 or under
Room-to-Breathe Asthma Program items cannot be sent to a Post Office (P.O.) box. Please enter a physical mailing address. Any requests submitted with a P.O. Box listed will not be processed.
To get started with the Room to Breathe Asthma Program, please select all that apply from the list below. required *

If your child is experiencing an asthma-related medical emergency, please dial 911.

This Value-Added Service requires the recipient or a responsible party to sign for the delivery of their package. required *

This form will send your message to Carolina Complete Health as an email. The email is not encrypted and is not transmitted in a secured format. By communicating with Carolina Complete Health through email, you accept the risks associated thereof. Carolina Complete Health does not accept responsibility or liability for any loss or damage arising from the use of email. To ensure the safety of your protected health information (PHI), please send us a message through the Secure Member Portal or Provider Portal, or you can call us at 1-833-552-3876 (TTY: 711) to speak directly to a member service representative.

If you need assistance filling out this form, please call Member Services at 1-833-552-3876 (TTY 711).