Behavioral Health

North Carolina's Historic $835M Behavioral Health Investment

State dollars raising Medicaid rates and expanding crisis care

  • Services for people experiencing a mental health or substance use crisis
  • Services to help individuals with behavioral health conditions avoid incarceration
  • Services for children with complex needs and supports for families
  • Strengthening the behavioral health workforce

In addition to these areas, the money will be used in several key areas, such as services for children with complex needs and their families, and the strengthening of the behavioral health workforce and promoting integrated care.

In addition, more teams will be set up to help people during emergencies, and special mental health centers will be made available to provide care right when and where it's needed. Funds will be used to add more safe places for children in crisis all over the state and to expand the list of available beds, called BH SCAN. This will make it easier for hospitals and other care providers to keep track of and access different kinds of care. The money invested in services for children, families, and emergencies will ensure that people don't have to wait in emergency rooms for mental health care because there are no other options.

The biggest portion of the legislative funding will be used to raise the payment rates for mental health services under Medicaid, which hasn't happened in ten years. This increase will help support health workers and make it easier for people to get care in the right places. It will also make the expansion of Medicaid more beneficial for about 600,000 people who will now be able to get treatment for mental health issues and substance use disorders.

"After years of being stretched thin, our systems of care will receive the funding they need," said NCDHHS Chief Psychiatrist Dr. Carrie Brown. "The ability to raise the floor for Medicaid's reimbursement of behavioral health services will increase access to care in the right settings so fewer children and adults end up stuck in emergency departments or involved in the justice system."

For anyone in crisis, help is readily available through the 988 Suicide and Crisis Lifeline. 

(Source: NC Department of Health and Human Services)

Frequently asked questions

What is the largest use of the funding?

Raising Medicaid payment rates for behavioral health services, which had not increased in ten years, to improve access to care in the right settings. -

How many people stand to benefit from the Medicaid changes?

About 600,000 people newly able to get treatment for mental health issues and substance use disorders through Medicaid expansion. -

Where can someone in crisis get help now?

Through the 988 Suicide and Crisis Lifeline, available at any time.

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