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NC Department of Health and Human Services
NC Division of
Medical Assistance
 
 

Local Management Entities

DMA Clinical Policy and Programs
Phone Number 919-855-4290
Fax 919-715-9451

Local Management Entities (LMEs) are responsible for managing, coordinating, facilitating and monitoring the provision of mental health, developmental disabilities, and substance abuse services in the area that they serve.

Enhanced Behavioral Health (Community Intervention) Services providers and Residential Treatment Facilities (Levels II through IV) must obtain endorsement approval from the LME as a prerequisite for Medicaid enrollment. Additional information about the role of the LME in the endorsement process for Medicaid behavioral health providers is available from the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services (DMH/DD/SAS).

Medicaid Bulletins

For changes and updates to coverage criteria, billing information, and other program requirements, refer to the N.C. Medicaid general and special bulletins.

DMH/DD/SAS Publications

Additional information of interest to LMEs is published by DMH/DD/SAS.

Utilization Management

N.C. Session Law 2008–107, Section 10.15(x) requires the Department of Health and Human Services to return service authorizations, utilization reviews, and utilization management functions to the Local Management Entities (LMEs) for all clients.  More information on the LME Utilization Management project

1915(b)/(c) Medicaid Waiver Expansion for MH/DD/SA Services

DHHS will solicit applications from LMEs to operate Medicaid-funded services through capitated PIHPs. More information on the waiver expansion project

 

 

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