Updates to NC-TOPPS Questions and Services

Effective July 1, 2026, NC-TOPPS will implement updates that include modifications to existing questions as well as the addition of new questions and services within the NC-TOPPS interviews.

If you are using printed copies of the interviews or manual, please ensure you reference the most current version when conducting interviews on or after July 1, 2026. These updates will be automatically reflected in the NC-TOPPS system on or around that date.

The SFY26-27 NC-TOPPS changes are:

• Consumer gender assigned at birth wording change:
  • Consumer gender
• Child abuse drug screen question changed to be more specific:
  • Was the investigation due to an infant having a positive urine, meconium or cord segment drug screen?
• Substance use questions:
  • Added xylazine to the list of drugs
• Special needs and service value questions wording change:
  • Child care to Childcare
• Update/EC question for number of drug tests conducted clarified to:
  • Do not count if it is positive for medications for opioid use disorder (MOUD) only

Adult interview changes:

• New residential services/added/changed:
  • Clinically Managed Low Intensity Residential Servcies-H2034 (added)
  • Clinically Managed Population Specific High-Intensity Residential Program-H0047 (added)
  • Clinically Managed Residential Services-H0012 HB (changed language)
  • Clinically Managed Residential Services-Pregnant and Parenting-H0012 HD (added)
  • Medically Monitored Intensive Inpatient-H0013 (changed language)
• Maternal and CASAWORKS sub-questions:
  • Added/changed women’s program provider names
• New question added:
  • Is this consumer in Transitions to Community Living (TCL)? Yes or No

Adolescent interview changes:

• New residential services added/changed:
  • Clinically Managed Residential Services-Adolescent-H0012 HA (added)
  • Medically Monitored Intensive Inpatient-H0013 (changed language)
• New question added:
  • CASAWORKS question