North Carolina action guide · Verified July 29, 2026
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Choosing services, direction, providers, or a start

Confirm rate, authorization, acceptance, and start

Separate the LME/MCO fee schedule from the person-specific authorization and the provider’s actual acceptance and start commitment.

Official sources checked 2026-07-29

Start here

Behavioral Health and I/DD Services and Fee-Schedule Authority

Before you start

  • Exact service and code, current plan, fee-schedule date, ISP, authorization, provider response, staffing plan, and proposed start date.

Who to contact

Use the official destination above, the county-assigned LME/MCO, the contact on the controlling notice, or the program-specific help route cited here.

Step by step

  1. Ask the LME/MCO for the current fee schedule governing the exact service.
  2. Obtain the person-specific authorization and effective dates.
  3. Obtain provider acceptance, staffing, and a written implementation date.

Expected next

A reconciled record of rate authority, authorization, provider acceptance, and scheduled start.

Save this proof

Fee-schedule source, code, authorization, provider acceptance, staffing confirmation, and start date.

If this stalls or the answer is no

Ask the plan to identify which layer is unresolved: rate, authorization, network access, provider acceptance, or staffing.

Beyond Childhood planning aid

Confirm rate, authorization, acceptance, and start checklist

A Beyond Childhood planning aid derived from the cited official sources.

  • Owner and date started
  • Documents or information supplied
  • Confirmation or notice
  • Current status
  • Next event and date
  • Escalation contact

Derived from Behavioral Health and I/DD Services and Fee-Schedule Authority, 1915(i) Provider Resource Questions and Answers

Official resources

Limits

NC Medicaid states LME/MCOs set their own fee schedules; 1915(i) plans establish their own fee schedules. A published rate does not prove payment, authorization, capacity, acceptance, or start.

Beyond Childhood’s checklists and prompts are planning aids derived from official sources. They are not official forms, legal advice, eligibility decisions, or guarantees of funding, capacity, quality, or service.

Checked sources

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