LME-MCO Contracts and Reports

Local Management Entities – Managed Care Organizations (LME-MCOs) manage the care of beneficiaries who receive services for mental health, developmental disabilities or substance use disorders. The following contracts and reports are related to NC Medicaid.

County Disengagement

• Follow-up to original posted disengagement formulas (Aug. 10, 2021)
• Transfer of Area Authority Fund Balances (Aug. 10, 2021)
• Transfer of Funds - County Disengagement Cover Memo (July 30, 2021)
• Transfer of Area Authority Fund Balances (July 30, 2021)

Email Medicaid.NCEngagement@dhhs.nc.gov with questions or comments

Alliance Behavioral Healthcare

• 2018 Contract
• Amendment 1
• Amendment 2
• Amendment 3
• Amendment 2018-1-ILO-1-FCT
• Amendment 2018-1-ILO-2-HFWT
• External Quality Review Report 2018-2019 
• External Quality Review Report 2019-2020 
• External Quality Review Report 2020-2021

COVID-19 In Lieu Ofs 

• Child and Adolescent Day Treatment Provided During Disaster or Emergency 
• Substance Abuse Intensive Outpatient Program (SAIOP) During Disaster
• Psychological Rehabilitation (PSR) During Disaster 

Cardinal Innovations Healthcare Solutions

• 2018 Contract
• Amendment 1
• Amendment 2
• Amendment 3
• External Quality Review Report 2018-2019 
• External Quality Review Report 2019-2020
• External Quality Review Report 2020-2021 

COVID-19 In Lieu Ofs 

• Case Support-Special Circumstances
• Practitioners Rendering treatment in place (TIP) Comprehensive Clinical Support Services (CCS) 

Eastpointe

• 2018 Contract
• Amendment 1
• Amendment 2
• Amendment 3
• Amendment 2018-3-ILO-1-HFW
• External Quality Review Report 2018-2019 
• External Quality Review Report 2019-2020
• External Quality Review Report 2020-2021 

Partners Behavioral Health Management

• 2018 Contract
• Amendment 1
• Amendment 2
• Amendment 3
• Amendment 4
• Amendment 2018-4-ILO-1-LTCS
• External Quality Review Report 2018-2019 
• External Quality Review Report 2019-2020 
• External Quality Review Report 2020-2021

COVID-19 In Lieu Ofs 

• SUD Intensive Outpatient Program during COVID-19
• Individual Rehabilitation Coordination, & Support Services 
• Substance Use Disorder Comprehensive Outpatient Treatment during Disaster (SUD-COT during Disaster)

Sandhills Center

• 2018 Contract
• Amendment 1
• Amendment 2
• Amendment 3
• External Quality Review Report 2018-2019 
• External Quality Review Report 2019-2020 
• External Quality Review Report 2020-2021

COVID-19 In Lieu Ofs 

• Family Centered Treatment, H2022 Z1-Engagement and Transition, H2022 HE-Reimbursement per month-Core In response to COVID-19 
• Child and Adolescent Day Treatment Provided During Disaster or Emergency

Trillium Health Resources

• 2018 Contract
• Amendment 1
• Amendment 2
• Amendment 3
• External Quality Review Report 2018-2019 
• External Quality Review Report 2019-2020 
• External Quality Review Report 2020-2021

COVID-19 In Lieu Ofs 

• Disaster Outreach and Engagement for IDD 
• Individual Rehabilitation, Coordination, and Support Services (DIRCS)
• Home Monitoring through Virtual Supervision systems (HMVS)
• Rapid Response Team (RRT)

Vaya Health

• 2018 Contract
• Amendment 1
• Amendment 2
• Amendment 3
• External Quality Review Report 2018-2019 
• External Quality Review Report 2019-2020
• External Quality Review Report 2020-2021

COVID-19 In Lieu Ofs 

Individual Rehabilitation, Coordination, and Support (IRCS) Services

2019 NC EQR Annual Summary Report