Outpatient Behavioral Health Services

Outpatient Behavioral Health services include:

  • Assessment
  • Treatment (individual medical evaluation and management) including
    • medication management
    • individual and group therapy
    • behavioral health counseling
  • Family therapy
  • Psychological testing

Fee Schedules

LME-MCOs set the fee schedules for their own provider networks.  LME-MCO fee schedules can be obtained by contacting the LME-MCO.  The LME-MCO directory can be found at https://www.ncdhhs.gov/providers/lme-mco-directory  

Fee schedules for providers of services not covered under the LME-MCO (providers of services for children age 0-3, Health Choice enrollees and legal aliens) can be found at https://dma.ncdhhs.gov/document/direct-enrolled-behavioral-health-services

Behavioral Health Clinical Policies

Behavioral Health Clinical Policies can be found at http://dma.ncdhhs.gov/document/behavioral-health-clinical-coverage-policies