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Details for Service Clinics - Mental Health
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Service Name
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Clinics - Mental Health
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Program Name
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At-Risk Family Health and Safety Benefits
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Goal
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Provide outreach, support and services to individuals and families identified as being at risk of compromised health and safety to eliminate or reduce those risks.
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Objective
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Assure that families at risk of economic challenges receive health and safety benefits to mitigate those risks.
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Division
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Division of Health Benefits
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Service Description
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Mental Health Clinics, also referred to as Local Management Entities (LMEs), serve as managers of the local public mental health, developmental disabilities and substance abuse services system. They provide screening and referral services, provide day to day operations for Community Alternatives Programs for Mental Retardation & Developmental Disabilities waivers; develop, endorse and monitor the local provider network for MH/DD/SA services, provide care coordination for the most vulnerable recipients with disabilities and provide some direct services.
They may serve as a managed care organization for the catchment area, as does the Piedmont Cardinal Health Plan.
LMEs address the needs of persons with severe mental illness, developmental disabilities and/or substance abuse disorders in order to access and coordinate treatment services. LMEs contract with and monitor providers to promote timely access to quality services. The services that Medicaid funds serve as a safety net for local communities.
Medicaid recipients who have medically necessity for the types of services provided or managed by LMEs can access services by contacting the LME responsible for services in their county.
| Mental Health Clinics are optional services. Some services provided by MHC may be considered mandatory, if medically necessary, for children up to age 21 under Medicaid's Early Periodic Screening, Diagnosis and Treatment (EPSDT) program. |
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Web Site
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http://www.ncdhhs.gov/dma/
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Year First Initiated
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1972
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Available State Wide
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Yes
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Geographic Area Served
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Grants Provided
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No
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Competitive Bidding
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No
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Competitive Bidding Details
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Waiting List
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No
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Waiting List Start Date
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Number Waiting
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Waiting List Details
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Income Eligibility
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Yes
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Income Eligibility Method
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Eligibility for Medicaid is determined by the county departments of social services (DSS) and the Social Security Administration (SSA) for Supplemental Security Income (SSI) recipients.
200% FPL - MIC children under age 6
185% FPL - MPW
133% FPL - MIC children age 1-5
100% FPL - MIC children 6-18, MAD, MAA, MAB
150% FPL -HCWD
MAF-CN, HSF Categorically Needy:
1 person - $362
2 - $472
3 - $544
4 - $594
5 - $648
MAF, MAD, MAA, MAB Medically Needy:
1 person - $242
2 - $317
3 - $367
4 - $400
5 - $433
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Income Eligibility Type
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Earned income such as: wages, self-employment
Unearned income such as: RSDI, unemployment, VA, retirement, child/spousal support, worker's compensation, etc.
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Whose Income Eligibility
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Individual on the Medicaid case + financially responsible individuals in the home - (Parent for child under age 21 or spouse).
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Income Disregard
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Yes
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Income Disregard Desc
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Earned Income Disregards:
MAA, MAD, MAB: $65 + 1/2 remainder
MAF-C - 27-1/2%
MAF-N/M, MIC, MPW, HSF: $90 + child/adult care up to $175/200
Unearned income disregards:
MAA, MAD, MAB: $20 general exclusion, 1/3 child support
MAF, MIC, MPW, HSF: $50 of child/spousal support
Work expense exclusion for the blind: MAB, HCWD
Impairment related work expense for the disabled - MAD, MAB, HCWD
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Income Verified
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Yes
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Income Verified Method
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Electronic match with ESC, SSA, wage stubs, verification from source of income, such as VA, employer, award letter, self-employment records
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Income Criteria
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Federal and State Statutes are used as a base for setting income levels.
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Income Eligibility Change
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1/1/2006
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Income Eligibility Method Prior To Change
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185% MIC children less than 1
133% MIC children 1-5
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Income Eligibility Other
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Age Range Start
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Age Range End
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0
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100+
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Authorization Level
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Authorization Type
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Citation
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Federal
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Code of Federal Regulations
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42 CFR 440.9; 440.130
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State
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Statute
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GS 122C 111.
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Federal
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Public Law
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SSA, Sec 1915 (g)
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Budget Information
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State Fiscal Year (SFY)
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As of the month of
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Authorized Budget Fiscal Year 2024
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SFY 2023-2024 Year To Date Expenditures
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Balance
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Salary and Fringes (1X)
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0
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0
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0
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Salary Other (1X)
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0
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0
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0
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Operating (2X-5X)
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0
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0
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0
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Contracts/Allocations (6X)
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0
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0
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0
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Reserves (7X)
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0
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0
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0
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Transfers (8X)
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0
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0
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0
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Total Requirements
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0
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0
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0
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Receipts-Federal
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0
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0
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0
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Receipts- Local receipts
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0
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0
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0
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Receipts- Other receipts
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0
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0
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0
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Total Receipts
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0
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0
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0
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General Fund Appropriations
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0
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0
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0
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Match
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State
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Local
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Other
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0
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0
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0
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