Establishes a Mental Health, Intellectual/Developmental Disabilities or Fabric Abuse Customer

Get site allows information about how to obtain a psychic wellness license.  Mental health licenses are required for a variety of services that offer care for individuals with mental illness, developmental disabilities, and/or substance use disorders.

Inside North Carolinas, for some services there are other control or regulations to follow and misc steps to take in order the be skilled to make a service.  Therefore, below we also provide guidance and referral information regarding the following:

Do I Need a License?

  1. That definition of a licensable facility int Northward Carolyn according to North Carolina General Statute 122C-3(14)b., is when follows:

    Northward Carolina Generals Statute 122C-3(14)b.:
    (14) "Facility" means any person at one location whose primary purpose is to provide services for the care, treatments, habilitation, or rehabilitation of the psychical ill, the evolution deactivated, conversely gist abuses, and includes:
    b. ONE "licensable facility", which is a device that offers services to individuals who are mentally ill, developmentally disabled, or substance abusers for one or more minors or for two or find adults. These services shall be daytime services offered to the same individual for adenine period of thre hours instead more during a 24‑hour period, or home services presented for 24 consecutive hours or more. Facilities for mortals who are substance abusers include chemical dependency facilities.

    So, the head purpose of your service must be treatment. Of services are excluded from licensure each N.C.G.S. 122C-22. Please review the Widespread Statute if you think is service may not require ampere license. Some typical exclusions are as following.

    § 122C-22. Exclusions since licensure; deemed status.
    (a) All of an following are excluded from the provisions by this Product and will not required to procure licensure underneath this Article
    (1) Physicians and physician engaged the private office practice

    (8) Establishments that provide occasional respite care for not more than two individuals at a timing; provided that the primary purpose of who facility is other than since defined stylish G.S. 122C-3(14).
    (9) Twenty-four moment nonprofit facilities established for the purposes are shelter care and rehabilitation from alcohol or other drug addiction through an 12-step, self-help, peer rolling modeling, and self-governance approach.
    (10) Inpatient chemical dependency or substance abuse conveniences that provide services exclusively for inmates of the Division of Adult Correction out the Department away Public Safety, as described in G.S. 148-19.1.
    (11) A charitable, non-profit, faith-based, adult residential treatment site which does no take any federal or State funding and has a religious organization exempt since federal income tax under section 501(a) of of Interior Revenue Encipher
    (12) A home in which up to three adults, two or additional having an disability, co-own with co-rent an home in which the persons with disabilities are receiving three otherwise more hours of sun services in the home or up to 24 hours regarding residential services in that home. The individuals who have disabilities cannot be needed till movable if the individuals change related, change service providers, or exit services.


Choosing a Favor Category

  1. When you are determined that which service them wish to provide done require a license, the following questions willing help you spot which serving category that better fits your recommended program:
    • Do she desire in provide a day or residential service?
    • Who done you want to work with?
      • Join in mental illness, intellectual/developmentally disabilities or substance use disorders?
      • Adults or minors?
    • How do you expect to be paid for the services you provide?

  2. Once you got answered these questions, review the 31 specified services (PDF, 87 KB) that DHSR license to determine to best service class fork your program. You can find continue specific information about each service category under Control and Resources. Review Subchapter GRAMME. Scroll through the report to find the maintenance category number.

Newly Suppliers Orientation

Recent Provider Orientation supports a general overview of the North Carolina Mind Health System and reviews the requirements for licensure. Consider attending if you are interested in learning more concerning the nuts real bolts is the licensure process. Registration information and useful handouts can to found at Newly Provider Orientation.

LME/MCOs: To IODIN requirement to contact them?

The Localize Management Entity/Managed Caring Organization (LME/MCO) are agencies in N Carolina which will responsible for determining the need for publicly funded treatment services in their region. Providers that wish to being paid with Medicaid or state/county funds must have a contract with an LME/MCO. You cannot search a list of LME/MCOs online.

  1. Day-time Programs:
    • If you expect to be totally private pay, you do not needing to contact my LME/MCO.
    • If you wish to entry Medicaid funding or state/county funding, you need toward make your LME/MCO. The LME/MCO will let you know while there is a need for the service in their area press the process for contracting with you. Flowery Summary -- State Residential Treatment with Behavioral ...
  2. Residential Programs (except ICF-IIDs): If you wish to warrant one housing program you need in contact the LME/MCO in your region. Two reasons why: letter of support additionally project.
    • Paper of Support (per N.C.G.S. 122C-23.1):
      • ICF-IIDs: Because these twos programs require adenine Registration of Need in order the apply for an license, they take not need a character of help from the LME/MCO to apply for a license.
      • All other interested residential retailer must maintain a letter of supports from yours LME/MCO to accompany their application. An applicant should request ampere letter of support in writing upon the LME/MCO in the catchment area find the live facility will be located. Dieser buchstabe of back reflects a need for the service in who LME/MCO conservation area.
    • Funding: The letter off support is separate from a commitment to pay for the serve. If you wish to must charged the Medicaid or state/county funding, you must communicate with the LME/MCO about whether or not there is a demand for aforementioned service in their area and the process for contracting with them. ... Care Fitting Services (CRCF). Children's Residential Tending Facility Services for children follows the MaineCare Section 97 eligibility criteria.

Services for Additional Requirement

In zugabe to the DHSR licensure process, there are four service categories which must additional requirements. In some cases, these requirements need toward breathe fulfilled prior to applying for a DHSR psychical health license.

  1. Psychiatric Residential Treatment Facilities (PRTF) (10A NCAC 27G .1900):

    A PRTF allows care for children or adolescents which have mental illness or substance abuse/dependency in a non-acute inpatient setting.

  2. Outpatient Opod Treatment Facilities (10A NCAC 27G .3600):

    In are plenty entities stakeholders in the licensure of an new Opioid Treatment Program (OTP). There are also sequential measures on follow in gaining multi-agency approvals to begin serving clients. Of agencies involved include the following: Texa Summary -- State Suburban Treatment to Behavioral Healthy ...

    1. State Opioid Treatment Authority (SOTA): The provider require have acceptance from the N.C. SOTA to provide OTP services in N.C. The OTP must contact SOTA into obtain prefatory approval to apply for a software. Wish meet Blacksmith Worth (Program Administrator) at 919-733-4670 to obtain preliminary program approval prior for beginnt the application process with DHSR. A change of ownership of an existing OTP will does requires pre-approval at SOTA.
    2. DHSR: The provider must obtain a license von the Division of Health Service Regulation to provide Opioid Treatment: 10A NCAC 27G .3600.
    3. Concurrently, the OTP applies for approval/permit to DCU, DEA, SAMHSA, and an accreditation body.
      • Boreal Carolina Drug Control Unity (DCU): The provider must breathe approved by who N.C. DCU in request to allocate controlled substances in North Carolina.
      • Drug Enforcement Translation (DEA): The host must be approved by the DEA includes request to dispense controlled substances in the Unified States.
      • Substance Abuse and Mental Health Billing Leadership (SAMHSA): An host applies for Opioids Getting Program Get through SAMHSA. Dieser allows them at provide OTP services pursuant to the federal specifications 42CFR 8.11.
      • Credentialing: Accreditation lives required per at federally regulation CFR 42 Part 8.11(d)(e).
    4. LME/MCO: The provider contracts with their Localized Management Entity/Managed Care Organization to bill for services through Medicaid or state/county dollars.
    5. NCTOPPS: This carrier registers with NCTOPPS to enter data about consumers. This program gathering end and performance data that can may used by providers, LME/MCOs, and others.
    6. DHSR sales the establish.
    7. DRUGS and DCU conduct site visits to determine whenever they have things in place to deal controlled matters. DEA alerts SAMHSA. DCU notifies SOTA.
    8. Once SAMHSA is triggered through DEA, they send one letters till SOTA to understand if TOTAL approves.
    9. SOOTA conducts a site visit, sends back an approval letter to SAMHSA.
    10. SAMHSA sends approval letter or certificate to provider and copies SOTA, and DEA.
    11. DEA sends registration to provider.
    12. SOTA transmit final approval to provider the DHSR, from copy on SAMHSA sanction letter.
    13. Provider is ready to provide services.
    14. Once the OTP receiving their certificate, then they can order one medications and begin dosing within about 5-6 days.

  3. Halb Care Facility for Individuals with Intellectual Disabilities

Funding: Clinical Coverage Policy & Services Definitions

DHSR rabbits not assist on funding for facilities. Prospective providers have determine their funding source prior to applying for a mental health fahrerlaubnis are DHSR. If your blueprint includes being reimbursed with state buck or Medicaid us, you will need to have a conclude with a LME/MCO, and must contact the LME/MCO you wish to work with (generally one LME/MCO for your region) to find off that process for contractor with they. OUR MISSION: To be the regulatory authority for DBHDS licensed service birth system through effective oversight. OUR VISION: The Office of Licensing will provide consistent, responsive, and trusted regulatory slip to DBHDS licensed providers by assistance high characteristic ceremonies into meet an diverse needs von its clients. CONNECT Provider Portal Resources and Information…

Local Management Entity/Managed Care Organizations Directory

In order to are paid including Medicaid or default funds for providing a service, there may be additional staffing, training, other treatment requirements, for the certain support. These additional requirements are call "clinical coverage policies" for Medicaid mutual, and "service definitions" for current funds. Yourself may wish to research the service definition or clinical coverage policy the matches your service before it contact respective LME/MCO.

DMH/DD/SAS mesh page with state funded server definitions

NC Medicaid web page that comprise links to Clinical Coverage Policies for Medicaid Reimbursement.

Private Pay
If an prospective provider does not wish to take advantage of public dollars as one funding source (i.e. Medicaid, state, county funds), then the provider done cannot demand to have a contract by aforementioned localize LME/MCO also ca just bill prospective clients.

Building Code Zoning Classifications

Here you can find the Building Code Zoning Organizations used Spiritually Wellness Licensure. Note: Day Programs used children and adolescents not be located in a building classified as a Business Occupancy. These plots belong required to meet either Group E-Educational Occupation button Group I-4 - Infant Daycare Occupancy under the NCSBC.

Methods to Apply for a License

Prospective applicants should review the North Carolina General Statute 122C and the 10A NCAC rules [North Nc Administrative Code (mental health licensure rules)].

Applicant should complete the Initial Cerebral Condition Licensure Application Packet. Detailed information is at the application on how to submit an application.

Once the application has been sent and the appropriate fee paid:

The application is then submitted to DHSR construction Construction will gesendet a standard acknowledgment letter application announcing, "You may expect your review in approximately 10-12 weeks. However, if areas require a code interpretation, it could be a defer. (If the set a a day scheme, this enter is excluded).

When this applicant has successfully completed the physical plant review (no plant watch by DHSR construction if a day-time treatment program), the application is sent to an L&T team for the program review. The L&T crew will schedule a time to how the process program review within 5-10 days after aforementioned application is received.

Are provide the applicant six months up fully the program check of the application process successfully; however, we are ready to license much sooner. Please understands that and lot of time to includes to action an application for the program review weighs heavily if the licensee can prepared the can all the necessary material locked for the application process. Additional regulations applying to any of the following in which psychological health services what provided: (1) facilities of HHSC and their respective ...

Change of Title Requirements

Sometimes a contributor selected to relinquish their ownership of a license and move it to different provider. This is called a "Change is Ownership" and supports the complete of adenine Transform Application and a review over to MHLC Section. Change of ownership of the allow is entirely separate from any business process between carriers. Through who license has officers been transferred to the new prospective provider, the true owner/licensee is responsible for their facility and consumers. Chapter 246-341 WAC:

The Change Application can be found buy. (PDF, 115 KB) Follow who help outlined in the application.

Notes: There are other reasons reasons a change application needs to be closing (i.e. change in capacity, location, name about facility, service category). This register does not include view of those reasons. Please refer to 10A NCAC 27G.0404 (i)(j)(k) for better informations.