The North Carolina Department of Health and Human Services issued requests for proposals for LME in May 2011. Several bills in the North Carolina General Assembly were introduced that also supported these policy changes. LMEs were applying to participate in the 1915(b)(c) Waiver Program. This program has already been implemented at PBH (formerly known as Piedmont Behavioral Health Care or the Piedmont LME). Waiver LME are required cover larger populations, therefore many LMEs grouped together for their applications. An important component of the waiver is that the LMEs will be able to limit the number of providers that they contract with – other Medicaid systems require LME to work with any willing provider.
What this means for providers and their professionals is that waiver LME systems will likely have fewer numbers of larger provider organization. The Critical Access Behavioral Health Agency plays a key role in this system – offering core services and partnering with small providers for specialty services.
The North Carolina Substance Abuse Federation, the North Carolina Substance Abuse Prevention Providers Association and the North Carolina Substance Abuse Professional Providers Association are continuing to evaluate this process with regard to the delivery of addiction prevention and treatment services. Visit www.ncsapa.org for Federation news and notes on the subject.