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Table of Contents


Section One
Introduction & Overview:
Introduction and Overview

Section Two
LME Administration by Function:
LME Administration by Function

Section Three
Provider Network:
Attachment I - Network Council Bylaws
Attachment II - Network Council Code of Ethics
Attachment III - Alleged Ethics Violation Reporting Form
Provider Network Overview

Section Four
Contracts:
Contracts Overview
Agency Contract
Agency General Conditions
Innovations Contract
Innovations General Conditions
ICF Contract
ICF General Conditions
PRTF Contract
PRTF General Conditions
LIP Contract
LIP General Conditions
Section Five
Benefit Package:
Attachment I - Cardinal Health Schedule of Benefits
Benefit Package
Mental Health Schedule
Substance Abuse Schedule
Section Six
Access, Enrollment & Auth. Services:
Access, Enrollment, and Authorization of Services
Attachment I - Waiting List Update/Change Form
Attachment II - Notice of Non Acceptance Form
Attachment III TAR
Attachment IV Tar Instructions

Section Seven
State Service Definitions & Criteria:
State Service Definitions and Criteria

Section Eight
Training/Resources:

Training/Resources

Section Nine
Getting Paid:
Attachment A Place of Service
Attachment B Sliding Fee Scale
Getting Paid

Section Ten
Standards & Regulatory Compliance:
Standards and Regulatory Compliance
Section Eleven
Dispute Resolution:
Attachment I - Complaint Form
Attachment II - Appeal through Grievance
Dispute Resolution
Termination Appeal Form
Section Twelve
Utilization Management Tools:
Utilization Management Tools

Section Thirteen
Official Communication Bulletins:
Click here for the list of current bulletins
Click here for the list of current announcements
Section Fourteen
Glossary of Terms:
Glossary of Terms
North Carolina State Service Records Manual (APSM 45-2)
North Carolina State Standards Manual (APSM 30-1)

     

 
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