Children with Complex Needs


The North Carolina Department of Health and Human Services (DHHS) will develop and implement a process to identify Children with Complex Needs and link them to diagnostic testing and appropriate services through Local Management Entity/Managed Care Organizations (LME/MCOs).

Children with Complex Needs are ages 5 and under 21, with a developmental and/or intellectual disability and a mental health disorder diagnosis who are Medicaid eligible and at risk of not being able to return to or maintain placement in a community setting.

Fact Sheet

Frequently Asked Questions

FAQs for Families

FAQs for Providers and LME/MCOs


Assessment Clinic Referral Form


LME/MCO Directory

Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

Settlement Agreement

Joint Communication Bulletin #J275 Children with Complex Needs- Murdoch Developmental Center Children’s Assessment Clinic, New Statewide Administrator, and New Web-Based Provider Training Curriculum

Joint Communication Bulletin #J231 Children with Complex Needs


Consumers, families, guardians and stakeholders may contact the LME/MCO 24/7 access number overseeing their county for further information regarding services for Children with Complex Needs.  If consumers, families, and guardians experience any barriers to services, please contact Nicole Cole, the State Coordinator for Children with Complex Needs, at or 919-715-1294.