What is a NC LME?
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.
What does LME MCO stand for?
Local Management Entity-Managed Care Organization
The Local Management Entity-Managed Care Organization (LME-MCO) Performance Summary is a monthly report which gives an overview of the administrative functions of the LME-MCOs.
How many MCOs are in NC?
NCDHHS Currently Has 6 LME/MCOs Operating Under the Medicaid 1915 b/c Waiver. Press ESC to clear any mark selections. Access to the View Data window is not enabled.
What MCO is Alamance County?
Will members be able to keep the same provider and care coordinator? Cardinal Innovations has shared information with the other MCOs about providers currently serving members within these counties.
What is a local management entity?
Local Management Entities (LMEs) and Managed Care Organizations (MCOs) are responsible for managing, coordinating, facilitating and monitoring the provision of mental health, developmental disabilities, and substance abuse services in the area they serve.
Does North Carolina have MCOs?
From public to private. On July 1, North Carolina’s Medicaid program transitioned from a system run and managed primarily by the state, to a system run and managed by five different private insurance companies, called managed care organizations or MCOs. As of July 2021, North Carolina joined the majority.
What are managed care programs?
Managed care plans are a type of health insurance. They have contracts with health care providers and medical facilities to provide care for members at reduced costs. These providers make up the plan’s network. How much of your care the plan will pay for depends on the network’s rules.
Who is replacing Cardinal innovations?
Cardinal Innovations Healthcare is now a part of Vaya Health
- Confirm your county’s new LME/MCO.
- Learn about Vaya Health Has your county transitioned to Vaya Health?
- Board of Directors Our Board is united by one common goal: to provide long-term value to the people we serve through responsible oversight of our operations.
What is Whole Person Care program?
Whole Person Care (WPC) is a program that helps Medi-Cal enrollees get health and social services. The program is for individuals who are homeless, justice-involved, have substance use disorder, serious mental illness, complex health issues or barriers to healthy pregnancy.
What is Mecklenburg County LME/MCO disengagement plan?
To minimize disruption of the behavioral health system in our county, this “Mecklenburg County LME/MCO Disengagement Plan” has been developed to ensure a smooth and seamless transition for all involved.
What does LME MCO stand for in NC?
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.
What is the Mecklenburg County behavioral health realignment?
In an effort to improve behavioral health services in our community, Mecklenburg’s Board of County Commissioners seeks to realign with Alliance Health to manage our residents’ behavioral health services funded by federal and state dollars, including Medicaid.
What services are available in Mecklenburg County NC?
Career opportunities in multiple fields are available in the Triangle NC area and in Mecklenburg County. Learn more about career opportunities. TBI services are available. Alliance Health is piloting North Carolina’s traumatic brain injury waiver.