Disaster Response

Hurricane Florence

Tell Us What Your Needs Are

In the aftermath of Hurricane Florence, NCPA offers its support to our members affected by the storm. Please use [email protected] to communicate your personal and professional needs. As you assess your situation, please let us know what we can do to help.

NC Medicaid

NC Medicaid has launched a NC Medicaid Hurricane Florence Response & Recovery webpage that will be updated as policies continue to be enhanced to assist recovery efforts.

A list of temporary changes to NC Medicaid and NC Health Choice policies and procedures is included in the Fact Sheets:

NC Tracks Announcements

Special Bulletin for Providers Serving NC Medicaid Patients

NC Medicaid Beneficiary Lock-in Program

Temporary NC Medicaid Directives to Increase Beneficiary Access to Services during Hurricane Florence

NC Medical Society 

The NC Medical Society has pulled together resources and up to date information on Medicaid and Commercial Insurers response to the storm. Learn more


  • The NC HIEA is recognizing that citizens in hurricane-struck areas are having to leave their homes, communities and healthcare providers who know them and their medical histories. Under these unusual circumstances, the NC HIEA has created an Emergency Data Access and Use Agreement to allow healthcare providers who are not yet connected to the NC health information exchange network, NC HealthConnex, to have temporary one-way access to view information about patients they may be seeing in shelters or other clinics. 
  • This Emergency Access Agreement only allows providers to view and use patient data in the NC HealthConnex clinical portal for Treatment purposes as defined by HIPAA.
  • If you would like to review and sign an Emergency Access Agreement, please contact [email protected] and explain why you need emergency access and what patients or patient groups you plan to serve.
  • Once the provider signs the Emergency Access Agreement, send it to [email protected] with the subject line “Emergency Access PA”
  • NC HIEA/SAS will expedite the agreement process and send the provider a user name and password once the agreement is executed.
  • The provider can log into NC HealthConnex clinical portal and look for patient history, medications, past surgeries etc. 
  • No services performed in the shelter or emergency setting is inputted into the portal or the HIE. The portal is just being made available to providers to view clinical information to help treat patients.

Veteran Affairs

The U.S. Department of Veteran Affairs is maintaining a centralized list of federal resources available to Veterans:  https://www.va.gov/opa/alerts/florence.asp.  Some specific, important points of contact are:

  • The Veteran disaster relief hotline:  800-507-4571
  • The Veteran Benefits Administration hotline:  800-827-1000
  • The pharmacy customer care number:  866-400-1243
  • The Vet Center counseling hotline:  877-927-8387

The Veterans Administration Mid-Atlantic Health Care Network is maintaining a Hurricane Florence Operating Status page with information about which health care offices are open:  https://www.visn6.va.gov/emergency/index.asp.  

The North Carolina Department of Health and Human Services has a consolidated web page linking individual to health and human services and resources, including information on connecting to care, getting benefits, food assistance, public health concerns, and more:  https://www.ncdhhs.gov/hurricane-florence

The North Carolina Department of Military and Veterans Affairs maintains a resource guide to assist and educate Veterans in learning about and accessing state and federal benefits:  https://www.milvets.nc.gov/resource-guide.      


NC Department of Public Safety

NC Department of Health and Human Services

Current Road Conditions

Local / County Emergency Contacts


Hurricane Resources for Psychiatrists

Psychological First Aid Manual

Considerations after Hurricane Matthew Mental Health In Disaster Powerpoint

Disaster Preparedness & Response Resources

Mental Health After a Disaster

Helping Families Deal with the Stress of Relocation After a Disaster

Current Road Conditions

Local / County Emergency Contacts

Flood Information and Resources

Resources for Home Owners

Resources for Small Business Owners

Patient Resources

Healthcare Ready is a non-profit that works to ensure patients access to healthcare, including medicines during times of disaster.

Rx Open is a free online map showing open pharmacies in affect areas.

If you have a medication that requires prior authorization request the 72-hour emergency override from your pharmacist, as required by Federal law. There is no limit to the number of 72-hour overrides that a pharmacy may enter until the prior authorization can be obtained. Pharmacists also have the ability to override an early refill of a non-controlled medication that is lost due to flooding.

Healing After Pet Loss

Helping Children Through Pet Loss

LME/MCO Directory with Crisis Phone Numbers

SAMHSA Disaster Distress Helpline: 1-800-985-5990

Flood Information and Resources

Flooding can be one of the greatest threats following a hurricane. Click here for information on recovering after the flood.


Flood Information and Resources

After the Flood

  • If your home, apartment or business has suffered damage, call the insurance company or agent who handles your flood insurance policy right away to file a claim.
  • Before entering a building, check for structural damage. Don't go in if there is any chance of the building collapsing.
  • Upon entering the building, do not use matches, cigarette lighters or any other open flames, since gas may be trapped inside. Instead, use a flashlight to light your way.
  • Keep power off until an electrician has inspected your system for safety.
  • Flood waters pick up sewage and chemicals from roads, farms and factories. If your home has been flooded, protect your family’s health by cleaning up your house right away. Throw out foods and medicines that may have come into contact with flood water.
  • Until local authorities proclaim your water supply to be safe, boil water for drinking and food preparation vigorously for five minutes before using.
  • Be careful walking around. After a flood, steps and floors are often slippery with mud and covered with debris, including nails and broken glass.
  • Take steps to reduce your risk of future floods. Make sure to follow local building codes and ordinances when rebuilding, and use flood-resistant materials and techniques to protect yourself and your property from future flood damage.
  • Apply for FEMA Assistance
  • Review Flood Safety Tips from NCDPS

More Information on Recovering after Floods

One of the most important things that you can do to protect your home and family before a flood is to purchase a flood insurance policy. You can obtain one through your insurance company or agent. Flood insurance is guaranteed through the National Flood Insurance Program (NFIP), administered by the Federal Emergency Management Agency. Your homeowners insurance does not cover flood damage.

Don't wait until a flood is coming to purchase your policy. It normally takes 30 days after purchase for a flood insurance policy to go into effect.

For more information about the National Flood Insurance Program (NFIP) and flood insurance, contact your insurance company or agent, or call the NFIP at 1-888-CALL-FLOOD, ext. 445.

Dealing with FEMA Denials

Here are recommendations from FEMA for those who receive a denial letter:

If you disagree with the decision letter you received, you can follow the below guidance to appeal the decision.

Read the letter carefully to find out why the decision was made.

Do you need to provide additional information?

  • Insurance determination letter.
  • Proof of occupancy or ownership.
  • Proof of ID.
  • Applicant’s signature.

Common reasons for the initial decision:

  • The damage was to a secondary home or a rental property, not a primary residence.
  • Someone else in the household applied and received assistance.
  • Disaster-related losses could not be verified.
  • Insurance covered all losses.

Contact FEMA for help with filing an appeal or any questions.


  • 800-621-3362 (711 or Video Relay Service available)
  • 800-462-7585 (TTY)

File a written appeal.

  • Explain why you think the decision was not correct.
  • Provide supporting information and documents.
  • Include your FEMA registration number on all documents.
  • Sign the letter.

Mail or fax your appeal within 60 days of the decision letter date, or drop it off at one of the Disaster Recovery Centers.


Disaster Preparedness & Response Resources

Resources for psychiatrists for their roles in responding to disasters and mass traumas. Psychiatrists provide valuable medical experience and expertise for preparing and responding to disasters and mass traumas. It is important to understand how psychiatric care can be integrated into disaster response systems in order to effectively provide medical assessment, treatment and consultation.


Helping Children Cope with Disasters

Children are not exempt from psychological impacts caused by man-made or natural disasters. Understandably, many young children may feel frightened and confused. Fortunately, most children, even those exposed to trauma, are quite resilient.

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