Managed Care in North Carolina - Piedmont Behavioral Health Care

North Carolina

State Policies & Initiatives: 
Medicaid & Employment

“Under the CCNC program, North Carolina contracts with 14 community networks, which are each paid a per member per month fee to coordinate patient care. Networks are paid a higher fee to coordinate the needs of aged, blind, and disabled beneficiaries. All medical services delivered to beneficiaries are still reimbursed on a fee-for-service basis. For the 1915(b)/(b) waiver program, North Carolina contracts with three local, non-profit LMEs (Piedmont Behavioral Health, Highlands, and East Carolina Behavioral Health) to provide behavioral health services on a capitated basis.” This is a 1915(b)(c) concurrent waiver. The (b) portion allows selective contracting to provide mental health, developmental disability, and substance abuse services to all age groups in Cabarrus, Davidson, Rowan, Stanley & Union counties.

  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships
Date Enacted: