Non Medicaid: Group Living Moderate

• State-Funded MH/DD/SA SERVICE DEFINITIONS 12/15/2019

Submission Requirements

Adult Mental Health

• Service Authorization Request (SAR)
• Comprehensive Clinical Assessment (CCA)
• Instrumental Activities of Daily Living (IADL) Assessment OR Daily Living Activities (DLA-20) Functional Assessment

Substance Use Perinatal and Maternal Programs 

• Service Authorization Request (SAR)

Substance Use Transitional Living

• Service Authorization Request (SAR)

Non-Medicaid IDD (Discontinued effective 4/1/2023)

Authorization Duration and Limits

Non-Medicaid Adult Mental Health

• Mandatory referral to Care Management
• Orange and Mecklenburg Counties only
• 1 unit/day for 180 days

Non-Medicaid Substance Use Perinatal and Maternal Programs 

• Authorization 365 days
• ASAM 3.5

Non-Medicaid Substance Use Transitional Living

• Initial: 30 days
• 45 day maximum length of stay per episode
• ASAM 3.1

Non-Medicaid IDD (Discontinued effective 4/1/2023)

ASAM Level of Care

3.1, 3.5