Medicaid Appeals Involving LME/MCOs

White man in his 30s reads letter from LME/MCO denying request for services for his disabled brother.

If you receive Medicaid services, you have the right to appeal any denial, reduction, suspension, or termination of services. In North Carolina, Local Management Entities/Managed Care Organizations (LME/MCOs) administer behavioral health services. They decide what services you can have. You can appeal the LME/MCO’s decision to do any of the following:

What to Do When You Can’t Find a Provider

A woman with medium brown skin wearing a jean jacket and turquoise necklace smiles at the camera, her hands on her daughter's shoulders. Her daughter is wearing a bright pink pendant, a beige shirt and has a huge smile on her face and closed eyes. She has an intellectual disability.

I have been approved for services through my local management entity / managed care organization (LME/MCO) but I can’t find a provider agency or my provider agency doesn’t have enough […]

What is Olmstead?

Three people working at the farm cafe pose for a picture. The boss is in the center. She is a person in her 30s with medium brown skin, wearing a "farm" cafe apron and smiling. Two white male employees are on either side of her, also wearing aprons and smiling. One of them has glasses and down syndrome.

Frequently asked questions. What is Olmstead? Olmstead is a 1999 US Supreme Court decision that says it is unlawful to make people with disabilities live in facilities. Olmstead says that you […]

Discharge Rights: Minors

A latina mother speaks with her daughter and a nurse in a facility waiting room.

Learn about your discharge rights if you are voluntarily, or involuntarily admitted into a 24-hour mental health facility as a minor.

Discharge Rights: Adults

Paperwork for discharge, zoomed in on the words, "Discharge orders" with a stethoscope resting on top.

What are my discharge rights from a 24-hour mental health facility? You have the right to actively participate in your treatment You (or your legal guardian) and the internal advocate […]

EPSDT Brochures

Three multi-ethnic little girls, one with dark brown skin and her curly hair pulled up in a pony, one with blond hair and bangs and light skin, and one with brown skin and braids, are all smiling with their arms across each other's shoulders. They are in a classroom. EPSDT applies to all children with Medicaid.

Early and periodic screening, diagnostic and treatment (EPSDT) is a program for children under 21 who have Medicaid. Under EPSDT, the state must cover all medically necessary services for children. […]