North Carolina Division of Mental Health, Developmental Disabilities and Substance Abuse Services
Providers of MH/DD/SA Services
Service Definitions
Service Definitions:
- Enhanced Mental Health and Substance Abuse Services (See Clinical Coverage Policy 8A on DMA Clinical Coverage Policies page)
- Other Service Definitions (1/03)
Service Definition Benefit Package
(11/30/04)
2007 Community Support Post Payment Review Instruments
Find Proposed Medicaid Clinical Coverage Policies
Find Medicaid MH/DD/SA Service Rates
Service Definitions describe the services that providers can be paid for in the state's public system of mh/dd/sa services. The definitions include descriptions of:
- Required components
- Provider requirements
- Staffing requirements, including experience, training, education
- Service types/settings
- Program requirements
- Utilization management
- Entrance criteria
- Continued stay criteria
- Discharge criteria
- Expected outcomes
- Service exclusions
Some service definitions are new, some are staying the same, some may be revised and some may be eliminated.
Overall,
though,
it
is
important
for
providers
to
know
that
many
services
are
being
bundled
together
into
service
definitions.
This
means
that
anyone
wanting
to
bill
for
providing
a
service
definition
has
to
be
able
to
provide
all
the
services
in
that
definition
or
bundle.
Individual
professionals
or
paraprofessionals
will
need
to
work
for
or
with
an
agency
that
can
provide
all
the
services
described
in
a
service
definition.
