DOJ Settlement - Transition to Community Living Initiative “LME-MCO/ Provider Agreement”

North Carolina

“The State of North Carolina entered into a settlement agreement with the United States Department of Justice in 2012. The purpose of this agreement was to make sure that persons with mental illness are able to live in their communities in the least restrictive settings of their choice. The NC Department of Health and Human Services is implementing the agreement through the Transition to Community Living Initiative".
The Transition to Community Living Initiative has six primary components:
  • In-Reach and Transition - Providing or arranging for frequent education efforts and discharge planning targeted to individuals in adult care homes and state psychiatric hospitals.
  • Diversion – Diverting individuals from being admitted to adult care homes.
  • Housing – Providing community-based supportive housing with tenancy supports.
  • Supported Employment – An evidence-based service to assist individuals in preparing for, identifying, and maintaining integrated, paid, competitive employment.
  • Assertive Community Treatment – An evidence-based treatment and support model of services offering intensive customized, community-based services for people with mental illness.
  • Quality Management – using data to evaluate progress and outcomes.”
State Policies & Initiatives: 
  • Other
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships
  • NC Department of Health and Human Services Civil Rights Division Court System
Date Enacted: