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NC Department of Health and Human Services Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
 

All DHHS info for health care providers

 

Provider Monitoring

The North Carolina Provider Monitoring Process for LME-MCOs

Provider Survey

Webinars

Provider Monitoring Tools

Frequently Asked Questions (FAQs)
(5/14/14)

Workshops, Trainings and Conference Presentations

The DHHS Provider Monitoring process is designed to promote North Carolina’s commitment to ensuring high quality services for individuals with mental health, intellectual/developmental disabilities, and substance abuse issues.  It is the vehicle used for entry into the provider network, for the evaluation of service providers against quantitative and qualitative measures, and for determining advanced placement status, using a series of monitoring tools.  The provider monitoring process is used to monitor both Medicaid and State-funded behavioral health services. For more information....

Review Information and Tools

Routine monitoring consists of a routine review and a post-payment review.

  • For LIPs, that includes the LIP Review Tool and the LIP Post-Payment Review Tool.
  • For provider agencies, the selection of tools is determined by the type services provided.
    • The Routine Monitoring Tool is used except when the agency provides Unlicensed AFL services, in which case the Unlicensed AFL Review Tool is used.
    • The specific post-payment review tool(s) to be used is based on the combination of services included in the sample.
    • For those services that DHSR-MHL surveys on an annual basis (i.e., residential services and opiod treatment services), only a post-payment review is done. 

Refer to the Instructions and Overview sections in each workbook for a detailed description of how the workbooks are organized and for more information on how all the component parts of the review fit together.

DHHS Review Tools for Routine Monitoring of Licensed Independent Practitioners

DHHS Review Tools for Routine Monitoring of Provider Agencies

DHHS Provider Review Database

Frequently Asked Questions (FAQs)

Please send questions or comments about the new tools or the provider monitoring process to the email below. Be sure to include the specific issue in the subject line.

provider.monitoring@dhhs.nc.gov

 

 

 

 

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