Children with Complex Needs

Overview

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

Forms

• Assessment Clinic Pre-Screening Form
• Assessment Clinic Referral Form

Resources

• LME/MCO Directory
• 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
• Joint Communication Bulletin #J291 Children with Special Needs - Settlement Agreement Extension

Contact

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 Rachel Johnson, the Statewide Administrator for Children with Complex Needs, at Rachel.Johnson@dhhs.nc.gov or 919-733-7011.