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This article is from the Encyclopedia of North Carolina edited by William S. Powell. Copyright © 2006 by the University of North Carolina Press. Used by permission of the publisher. For personal use and not for further distribution. Please submit permission requests for other use directly to the publisher.

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Health and Human Services, Department of

by Robert Blair Vocci, 2006

The North Carolina Department of Health and Human Services (DHHS) is responsible for the welfare of all North Carolina residents, including children, the elderly, the economically impoverished, and the physically and developmentally disabled. By the early 2000s it was the state's largest government agency, with a 2005 operating budget of over $11 billion-more than 20 percent of the state's total budget.

The modern DHHS is an amalgamation of many previously existing state agencies and departments, including the Department of Public Welfare, Department of Public Health, and Department of Mental Health. In 1971 the General Assembly created the Department of Human Resources, which combined government agencies and free-standing departments performing similar functions. This umbrella organization continued to expand with the addition of the Division of Vocational Rehabilitation in 1973, Office of Rural Health in 1974, and Division of Aging in 1977. The administration of the Medicaid program was reassigned from the Division of Social Services to the newly created Division of Medical Assistance in 1978. In 1989 a Division for the Deaf and Hard of Hearing was formed, and the Division of Public Health was transferred to the Department of Environment, Health, and Natural Resources. In 1997 the Department of Human Resources reacquired the Public Health Division and was renamed the Department of Health and Human Services.

The three largest modern-day DHHS divisions are the Division of Medical Assistance (which accounts for over half of the department's budget), Division of Social Services, and Division of Mental Health, Developmental Disabilities, and Substance Abuse Services. Other DHHS branches include the Division of Child Development (created in 1993) and the Early Intervention and Education Division (established in 1999 and renamed the Office of Education Services in 2001).

Additional information from NCpedia editors at the State Library of North Carolina: : 

2012 update: The Department of Health and Human Services is the second largest agency in the state, with over 19,000 employees. The North Carolina Department of Public Safety formed in 2012. It merged the Departments of Correction, Crime Control and Public Safety, and Juvenile Justice and Delinquency into one, making it the only agency larger than the Department of Health and Human Services.

Additional resources:

North Carolina Department of Health and Human Services website:

"Department of Health and Human Services  Agency History: 1755-1990s." Government Records Branch of North Carolina. 2009. (accessed October 3, 2012).

Archived webpages, NC Department of Health and Human Services. 2006-present:*/

Archived webpages, NC Department of Health and Human Services. 2000-present:*/

North Carolina State Government Publications Collection:

User Tags: 



To whom do I report a complaint about a NC Assisted Living Center with respect to the non-reporting of medical devices, tests and illnesses of a relative who is a resident?


I think the best place to report is to DHHS division of Health Service Regulation as they oversee medical and mental health care and adult care facilities and other things as well. Their website is at

Erin Bradford, Government and Heritage Library


filled out application for food and nutrition what do i do with it ???? no address to send to ??????????


Dear Mr. Covington,

You can find contact information for the Food and Nutrition unit of the Department of Health and Human Services here:

Mike Millner, NC Government & Heritage Library


Do you have a website, or any method, that I may obtain the 82 page "Infection Control Course" to use as a guide to teach a required class for Adult Care Home Employees?


Mr. Deming,

Could you point me to the specific course you are referring to?

Thank you.

Mike Millner, Government & Heritage Library

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