Rates Paid by LME/MCOs for State/Block Grant Funded Services Summary of Rates...Rates Paid by...

Rates Paid by LME/MCOs for State/Block Grant Funded Services

In State Fiscal Year 2018 (July 1, 2017 - June 30, 2018)

November 2017 Report

Prepared by NC DHHS DMH/DD/SAS Quality Management Section 3/15/2018.

Rates Paid by LME/MCOs for State/Block Grant Funded Services

Source: Claims processed in NCTracks; excludes denied claims.

NCDMHDDSAS Summary of Rates Paid by LME-MCOs shows the rates LME-MCOs reimburse providers for services covered by NCDMHDDSAS. Rates shown reflect the amount paid per unit of service. Units of service are prescribed in the service definition, and the unit may be 15 minutes, an hour, an event, or per diem (day). Effective July 1, 2017, LME-MCOs are allowed to set rates for services reimbursed with DMHDDSAS state and federal dollars. LME-MCOs are to establish rates that are necessary and appropriate; these may be specific to the provider or consumer.

The service definitions can be found at:https://www.ncdhhs.gov/divisions/mhddsas/servicedefinitions

Table of ContentsRate most often Reimbursed (Mode) by LME for each Service………… Pages 3-6

Service, Maximum and Mode Rates by Provider, LME ………..…………… Pages 7-end

NOTES:Services with less than 10 paid events are excluded.Assertive Community Treatment (ACT) is billed at a case rate and additional events are billed at .01.Inpatient bed day rates are excluded as 3-Way Inpatient rates are set by DHHS, and currently there are inaccuracies in reported state funded inpatient (YP820).Occasionally, the provider name found in NCTracks is in error.

https://www.ncdhhs.gov/divisions/mhddsas/servicedefinitions

Rate most often Reimbursed (Mode) by LME for each ServiceDate of Service Year-Month: 2017-11 Services with less than 10 paid events are excluded. High outliers are highlighted.

Rate Mode (occurs most often) LME_MCOSvc_Name PROC_ADJ

DC_CDALLIANCE CARDINAL EASTPOINTE PARTNERS SANDHILLS TRILLIUM VAYA Avg

ModeSt. Dev. 2 St Dev >

AvgADVP YP620 $1.57 $1.57 $1.80 $1.57 $1.57 $46.56 $1.57 $8.03 15.73$ 39.49$ Afterschool Summer enrichment Pgm YA392 $58.00 $58.00 -$ 58.00$ Alcohol and/or Drug Assessment - non-licensed provider

YP830 $13.87 $13.87 -$ 13.87$

Alcohol and/or Drug Group Counseling - non-licensed provider

YP835 $5.08 $5.12 $7.45 $5.88 1.11$ 8.10$

Assertive Community Treatment Program H0040 $324.00 $323.98 $312.50 $348.75 $339.62 $0.01 $304.18 $279.01 114.75$ 508.51$ Assertive engagement YA323 $15.00 $15.00 $15.00 -$ 15.00$

YA341 $15.00 $15.00 -$ 15.00$ YA368 $15.00 $15.00 -$ 15.00$

Assertive Engagement - AP & Paraprofessional YA353 $6.00 $6.00 -$ 6.00$ Assertive Engagement - QP (Licensed & Unlicensed) YA352 $15.00 $15.00 -$ 15.00$ Behavioral Health Counseling - Group Therapy - non-licensed provider

YP832 $8.11 $8.11 -$ 8.11$

Behavioral Health Counseling - non-licensed provider YP831 $19.81 $19.67 $19.74 0.07$ 19.88$

CAET Group YA394 $3.75 $3.75 -$ 3.75$ CAET school to work transition (group) YA382 $2.27 $2.27 -$ 2.27$ Clinical Evaluation/Intake - Telemedicine 90791 $67.80 $160.00 $103.44 $98.49 $107.43 33.28$ 173.99$ Clinical Evaluation/Intake 90791 $106.58 $160.00 $94.04 $98.49 $110.68 $163.20 $140.94 $124.85 27.11$ 179.06$ Community Rehabilitation Program (Sheltered Workshop)

YP650 $3.71 $3.71 -$ 3.71$

Community Respite YP730 $160.79 $160.79 -$ 160.79$ Community Support Team H2015 $14.50 $21.95 $14.50 $16.52 $14.50 $14.50 $23.50 $17.14 3.62$ 24.38$ Comprehensive Screening and Community Connection

YA377 $19.45 $19.45 -$ 19.45$

Crisis Evaluation & Observation YA324 $13.06 $13.06 -$ 13.06$ YA369 $11.31 $11.31 -$ 11.31$

Critical Time Intervention YP400 $20.64 $20.64 -$ 20.64$ Day Activity YP660 $3.75 $3.75 $3.75 $3.75 $68.25 $2.75 $14.33 24.12$ 62.56$ Day Supports YM580 $112.23 $6.01 $90.00 $69.41 45.74$ 160.90$ Detox - Soc Set YP790 $118.42 $118.42 -$ 118.42$ Developmental Day YP610 $2.50 $4.74 $4.74 $4.74 $4.18 0.97$ 6.12$

Page 3 of 51





AvgDevelopmental Therapy Service Paraprofessional H2014 $6.01 $6.01 $6.01 $5.00 $5.76 0.44$ 6.63$

Developmental Therapy Service Paraprofessional - Group

H2014 $2.01 $2.01 -$ 2.01$

Developmental Therapy Service Professional H2014 $13.00 $8.34 $10.67 2.33$ 15.33$ Diagnostic Assessment T1023 $231.30 $231.30 $231.30 $231.30 0.00$ 231.30$ E&M-Detailed-Established Patient 99213 $55.94 $95.00 $55.94 $69.86 $67.64 $185.00 $74.43 $86.26 42.12$ 170.50$ E&M-Detailed-Established Patient - Telemedicine 99213 $47.55 $95.00 $55.94 $69.86 $67.64 $61.53 $74.43 $67.42 14.03$ 95.47$

E&M-Detailed-New Patient 99203 $145.00 $70.86 $107.93 37.07$ 182.07$ E&M-Detailed-New Patient - Telemedicine 99203 $83.36 $83.36 -$ 83.36$ E&M-Expanded-Established Patient 99212 $40.50 $28.48 $34.49 6.01$ 46.51$ E&M-High-Established Patient 99215 $125.40 $125.40 -$ 125.40$ E&M-High-Established Patient - Telemedicine 99215 $125.40 $125.40 -$ 125.40$ E&M-High-New Patient 99205 $163.41 $198.58 $167.94 $179.75 $177.42 13.60$ 204.61$ E&M-High-New Patient - Telemedicine 99205 $163.41 $163.41 -$ 163.41$ E&M-Moderate-Established Patient 99214 $84.29 $150.00 $71.65 $103.28 $101.92 $232.00 $105.00 $121.16 50.54$ 222.24$ E&M-Moderate-Established Patient - Telemedicine 99214 $71.65 $130.00 $84.29 $103.28 $98.86 $92.72 $105.00 $97.97 16.95$ 131.88$

E&M-Moderate-New Patient 99204 $129.27 $185.00 $129.27 $159.04 $156.30 $156.87 $152.63 19.20$ 191.02$ E&M-Moderate-New Patient - Telemedicine 99204 $135.18 $156.87 $146.03 10.85$ 167.72$ E&M-Problem Focused-Established Patient 99211 $16.82 $16.82 $16.82 -$ 16.82$ Facility Based Crisis Program-Non-Medicaid YP485 $313.32 $313.32 -$ 313.32$ Facility Based Crisis Service S9484 $15.93 $23.90 $15.93 $26.57 $30.02 $50.00 $27.06 11.50$ 50.05$ Familiy Living - Mod YP750 $30.76 $117.42 $100.00 $46.83 $90.00 $77.00 32.80$ 142.61$ Family Living - High YM755 $100.00 $100.00 $100.00 -$ 100.00$ Family Living - Low YP740 $50.00 $116.00 $70.47 $56.50 $90.00 $76.59 24.00$ 124.60$ Group Living - Hi YP780 $250.00 $188.00 $141.51 $442.00 $141.51 $141.51 $141.15 $206.53 103.26$ 413.04$ Group Living - Low YP760 $55.29 $168.48 $151.08 $55.29 $135.16 $55.29 $95.32 $102.27 45.54$ 193.35$ Group Living - Mod YP770 $147.65 $315.00 $75.48 $75.48 $157.00 $157.00 $75.48 $143.30 78.99$ 301.27$ Group Therapy (non-multiple family group) 90853 $19.18 $50.00 $19.18 $36.00 $22.58 $51.70 $48.66 $35.33 13.86$ 63.06$ Hospital Discharge Day 30 min or less 99238 $59.28 $59.28 -$ 59.28$ Hospital Discharge Transition Service YA346 $18.25 $18.25 $18.25 -$ 18.25$ Ind Placement Support/Supported Emp YP630 $19.02 $27.32 $22.82 $19.02 $19.02 $22.82 $22.82 $21.83 2.85$ 27.53$

Page 4 of 51





AvgIndependent Living-MR/MI YM700 $23.34 $68.15 $38.80 $37.34 $41.91 16.31$ 74.53$ Individual Therapy (20-30 min.) 90832 $39.18 $52.24 $39.18 $47.72 $46.12 $70.00 $52.24 $49.53 9.73$ 68.99$ Individual Therapy (20-30 min.)--MD 90833 $29.67 $29.67 -$ 29.67$ Individual Therapy (45-50 min.) 90834 $67.85 $77.41 $67.85 $63.29 $59.90 $217.00 $77.41 $90.10 52.16$ 194.43$ Individual Therapy (60 min.) 90837 $74.57 $120.00 $99.42 $94.75 $87.77 $165.00 $88.34 $104.26 27.92$ 160.11$ Initial Hospital Care High Severity 99223 $166.89 $166.89 -$ 166.89$ Initial Hospital Care Mod Severity 99222 $113.34 $113.34 -$ 113.34$ Initial Inpatient Consultation 40 99252 $63.25 $63.25 -$ 63.25$ Intensive In-Home Services H2022 $239.66 $258.20 $239.66 $258.20 $258.20 $250.78 9.08$ 268.95$ Interactive Evaluation 90792 $104.58 $158.30 $123.09 $88.89 $158.30 $126.63 28.03$ 182.70$ Interactive Evaluation- Telemedicine 90792 $158.30 $123.09 $158.30 $146.56 16.60$ 179.76$ Interactive Evaluation with Complexity 90785 $2.97 $2.97 -$ 2.97$ Long Term Vocation Support Indiv IDD YA389 $11.21 $11.21 $11.21 $11.21 $11.21 $11.21 $11.21 $11.21 0.00$ 11.21$ Long Term Vocational Support Group YA383 $3.00 $3.00 -$ 3.00$ Mental Health - Day Treatment - Child H2012 $31.41 $31.41 -$ 31.41$ Mental Health - Partial Hospitalization H0035 $300.00 $600.00 $192.00 $364.00 172.60$ 709.21$ Mobile Crisis Management H2011 $33.68 $34.37 $33.68 $56.00 $33.68 $91.00 $33.68 $45.16 20.22$ 85.60$ Multi-Systemic Therapy H2033 $36.57 $36.57 $43.88 $39.01 3.45$ 45.90$ Non-Hospital Medical Detox H0010 $325.58 $325.58 $325.58 $325.58 -$ 325.58$ Opioid Treatment H0020 $16.60 $20.00 $16.49 $18.76 $16.60 $16.60 $17.51 1.37$ 20.25$ Outpatient DBT (Group) YA386 $62.68 $62.68 -$ 62.68$ Outpatient DBT (Individual) YA387 $110.96 $142.08 $126.52 15.56$ 157.64$ Peer support YA308 $12.00 $8.14 $8.14 $12.00 $10.07 1.93$ 13.93$ Peer support group B3 YA309 $2.71 $2.71 $2.71 $2.71 0.00$ 2.71$ Peer Support Hospital Discharge & Diversion - Ind YA343 $10.14 $10.14 $10.14 $10.14 -$ 10.14$

Personal Asst - Indiv YP020 $4.46 $4.46 $4.46 $4.46 $4.46 $4.46 $4.46 $4.46 -$ 4.46$ Psychosocial Rehab Services H2017 $2.69 $3.34 $2.69 $3.75 $2.91 $2.69 $2.69 $2.97 0.39$ 3.74$ Public Psychiatry - Administrative Functions YP851 $25.00 $25.00 $25.00 $25.00 -$ 25.00$ Public Psychiatry - Consultation and Service Functions YP852 $35.00 $35.00 $35.00 $35.00 -$ 35.00$

Recovery Education Center (REC) - Group YA367 $2.22 $2.22 -$ 2.22$ Recovery Education Center (REC) - Indiv YA366 $6.00 $6.00 -$ 6.00$ Residential Supports YM850 $96.25 $96.25 -$ 96.25$

Page 5 of 51





AvgRespite Hourly - Group YP011 $1.67 $1.67 -$ 1.67$ Respite Hourly - Indiv YP010 $5.00 $5.00 $5.00 $5.00 $3.75 $4.75 0.50$ 5.75$ SA Comprehensive Outpatient Treatment Program H2035 $45.35 $45.35 $45.35 $45.35 $45.35 $45.35 $45.35 -$ 45.35$

SA Halfway House H2034 $89.62 $74.90 $82.26 7.36$ 96.98$ SA Intensive Outpatient Program H0015 $131.56 $148.52 $131.56 $131.56 $131.56 $131.56 $148.52 $136.41 7.66$ 151.73$ Safety Supervisor - Hourly YA385 $15.00 $15.00 -$ 15.00$ Senior IDD-My Turn YA391 $60.00 $60.00 -$ 60.00$ Subsequent Hospital Care per Day 99231 $34.30 $34.30 -$ 34.30$

99232 $61.81 $61.81 -$ 61.81$ Supervised Living - 1 Resident YM811 $380.00 $305.00 $139.71 $168.98 $248.42 98.29$ 445.00$ Supervised Living - 2 Resident YM812 $161.99 $200.00 $161.99 $161.99 $171.49 16.46$ 204.41$ Supervised Living - 3 Resident YM813 $116.15 $116.15 $116.15 $116.15 $116.15 $116.15 -$ 116.15$ Supervised Living - 4 Resident YM814 $93.17 $93.17 $93.17 -$ 93.17$ Supervised Living - 5 Resident YM815 $77.67 $77.67 -$ 77.67$ Supervised Living - 6 Resident YM816 $68.83 $68.83 -$ 68.83$ Supervised Living - Low YP710 $28.92 $28.92 $28.92 $28.92 $28.92 $28.92 $28.92 $28.92 0.00$ 28.92$ Supervised Living - Mod. YP720 $180.23 $75.48 $55.11 $37.36 $55.11 $80.66 51.23$ 183.11$ Supported Emp - Group YP640 $2.53 $2.53 $2.53 -$ 2.53$ Supported Employment Indiv IDD YA390 $11.21 $11.21 $11.21 $11.21 $11.21 $11.21 -$ 11.21$ TBI Long term Residential rehab YA328 $140.00 $140.00 -$ 140.00$ Telehealth originating site facility fee Q3014 $25.00 $20.83 $22.74 $25.00 $21.25 $22.96 1.78$ 26.52$ Therapeutic, prophylactic, or diagnostic injection 96372 $30.00 $16.53 $15.61 $32.80 $23.74 7.74$ 39.21$

Transition Management Services YM120 $20.00 $17.26 $13.92 $13.92 $18.55 $18.44 $17.00 $17.01 2.16$ 21.32$

Page 6 of 51

Service, Maximum and Mode Rates by Provider, LMEDate of Service Year-Month 2017-11 Services with less than 10 paid events are excluded. * Paid amount, as of report date.

ACT is billed at a case rate and additional events are billed at .01.Service Name Procedure

CodeFACILITY_LST_NM LME_MCO Max Paid

RateRate

Mode# Units

PaidTotal Paid*

ADVP YP620 ASHE COUNTY ADAP VAYA $1.57 $1.57 345 $542AVERY COUNTY GROUP HOME VAYA $1.57 $1.57 232 $364BEAUFORT COUNTY DEVELOPMENTAL CENTE TRILLIUM $1.94 $1.94 36 $70BLUE RIDGE AREA FOUNDATION INC VAYA $1.57 $1.57 121 $190C R E S T GROUP HOME ALLIANCE $1.57 $1.57 758 $1,190

SANDHILLS $1.57 $1.57 18 $28CABARRUS VOCATIONAL OPPORTUNITIES CARDINAL $1.13 $1.13 1881 $2,126CALDWELL OPPORTUNITIES INC VAYA $1.57 $1.57 351 $551CAROBELL INC TRILLIUM $1.94 $1.94 34 $66CHATHAM TRADES INC CARDINAL $1.57 $1.57 270 $424CLEVELAND VOCATIONAL INDUSTRIES IN PARTNERS $1.57 $1.57 301 $473COASTAL ENTERPRISES OF WILMINGTON TRILLIUM $1.94 $1.94 123 $239Community Workforce Solutions, Inc. ALLIANCE $1.25 $1.25 475 $594

CARDINAL $1.57 $1.57 816 $1,281COUNTY OF PERSON OFFICE OF COUNTY F CARDINAL $1.57 $1.57 488 $766DIVERSIFIED OPPORTUNITIESINC EASTPOINTE $1.80 $1.80 725 $1,305DURHAM EXCHANGE CLUB INDUSTRIES INC ALLIANCE $1.47 $1.47 791 $1,163EAST CAROLINA VOCATIONAL CENTER TRILLIUM $1.94 $1.94 145 $281EASTER SEALS UCP NC & VA CARDINAL $1.57 $1.57 336 $528

TRILLIUM $1.94 $1.94 20 $39EMPLOYMENT SOURCE INC ALLIANCE $1.57 $1.57 240 $377FOOTHILLS INDUSTRIES OF MCDOWELL CO PARTNERS $1.57 $1.57 105 $165

VAYA $1.57 $1.57 673 $1,057GASTON SKILLS INC PARTNERS $1.57 $1.57 240 $377GASTROENTEROLOGY SPECIALISTS PA TRILLIUM $46.56 $46.56 20 $578GOODWILL INDUSTRIES OF NWNC PARTNERS $1.57 $1.57 121 $190

VAYA $1.57 $1.57 148 $232HAYWOOD VOCATIONAL OPPORTUNITIES IN VAYA $1.57 $1.57 199 $312HOWELL SUPPORT SERVICES LLC EASTPOINTE $1.80 $1.80 457 $823INDUSTRIAL OPPORTUNITIES INC VAYA $1.57 $1.57 143 $225JOHNSTON COUNTY INDUSTRIES INC ALLIANCE $1.57 $1.57 542 $851

Page 7 of 51




RateRate

Mode# Units

PaidTotal Paid*

ADVP YP620 JOHNSTON COUNTY INDUSTRIES INC SANDHILLS $1.57 $1.57 529 $831LEE COUNTY INDUSTRIES INC SANDHILLS $1.57 $1.57 346 $543MARTIN COUNTY RESIDENTIAL SERVICES TRILLIUM $1.94 $1.94 20 $39MCLAURIN VOCATIONAL TRAINING CENTER SANDHILLS $1.57 $1.57 449 $705MONARCH CARDINAL $1.94 $1.57 998 $1,477

EASTPOINTE $1.80 $1.80 1387 $2,497SANDHILLS $1.57 $1.57 1058 $1,661TRILLIUM $1.94 $1.94 39 $76

NEUSE ENTERPRISES INC ALLIANCE $1.57 $1.57 18 $28EASTPOINTE $1.80 $1.80 1287 $2,317

OE ENTERPRISES INC CARDINAL $1.57 $1.57 1164 $1,827PARTNERS BEHAVIORAL HEALTH MANAG PARTNERS $1.57 $1.57 244 $383POLK VOCATIONAL SERVICES VAYA $1.57 $1.57 153 $240RALPH SCOTT LIFESERVICES INC CARDINAL $1.57 $1.57 163 $256RANDOLPH VOCATIONAL WORKSHOP INC SANDHILLS $1.57 $1.57 505 $793RHA HEALTH SERVICES INC PARTNERS $1.57 $1.57 213 $334RHA HEALTH SERVICES NC LLC ALLIANCE $1.57 $1.57 206 $323

EASTPOINTE $1.57 $1.57 59 $93PARTNERS $1.57 $1.57 38 $60TRILLIUM $1.94 $1.94 24 $47

RUTHERFORD LIFE SERVICES INC VAYA $1.57 $1.57 279 $438SOLID FOUNDATION FACILITIES INC TRILLIUM $1.94 $1.94 39 $76THE MENTAL HEALTH FUND INC PARTNERS $1.57 $1.57 166 $261THE WORKSHOP OF DAVIDSON INC CARDINAL $1.13 $1.13 928 $1,048TRANSYLVANIA VOCATIONAL SERVICES IN VAYA $1.57 $1.57 100 $157TRI-COUNTY INDUSTRIES EASTPOINTE $1.80 $1.80 269 $484

TRILLIUM $1.94 $1.94 158 $306TURNING POINT SERVICES PARTNERS $1.57 $1.57 306 $480

VAYA $1.57 $1.57 56 $88UNION DIVERSIFIED INDUSTRIES INC CARDINAL $1.13 $1.13 921 $1,041VOCATIONAL SOLUTIONS OF HENDERSON C VAYA $1.57 $1.57 83 $130

Page 8 of 51




RateRate

Mode# Units

PaidTotal Paid*

ADVP YP620 WAKE ENTERPRISES INC ALLIANCE $1.25 $1.25 1275 $1,594EASTPOINTE $1.80 $1.25 20 $26

WAYNE OPPORTUNITY CENTER INC EASTPOINTE $1.80 $1.80 1153 $2,072WILKES ADAP INC VAYA $1.57 $1.57 181 $284WILKES VOCATIONAL SERVICES INC VAYA $1.57 $1.57 287 $451UMAR SERVICES INC CARDINAL $1.13 $1.13 23 $26VICTOR & ASSOCIATES INC SANDHILLS $1.57 $1.57 58 $91ROANOKE DEVELOPMENTAL CENTER INC TRILLIUM $1.94 $1.94 25 $49

Afterschool Summer enrichm YA392 LINDLEY HABILITATION SERVICES INC CARDINAL $58.00 $58.00 55 $3,190Alcohol and/or Drug Assessm YP830 ADDICTION RECOVERY CARE ASSOCIATION SANDHILLS $13.87 $13.87 37 $513Alcohol and/or Drug Group C YP835 BURKE COUNCIL ON ALCOHOLISM CHEMI PARTNERS $5.08 $5.08 27 $137

CARING SERVICES INC SANDHILLS $5.12 $5.12 13 $67PORT HUMAN SERVICES TRILLIUM $7.45 $7.45 36 $230

Assertive Community Treatm H0040 A CARING ALTERNATIVE LLC PARTNERS $348.75 $0.01 184 $23,716ALLIANCE REHABILITATIVE CARE INC CARDINAL $323.98 $323.98 25 $8,099CAROLINA OUTREACH LLC ALLIANCE $324.00 $305.00 187 $43,729

CARDINAL $323.98 $323.98 18 $5,832EASTPOINTE $312.50 $312.50 16 $5,000

COASTAL SOUTHEASTERN UNITED CARE EASTPOINTE $312.50 $312.50 21 $6,563PARTNERS $348.75 $348.75 17 $5,231

DAYMARK RECOVERY SERVICES INC CARDINAL $323.98 $323.98 36 $11,663SANDHILLS $323.98 $323.98 77 $14,579VAYA $304.18 $304.18 285 $46,541

EASTER SEALS UCP NC & VA ALLIANCE $324.00 $324.00 180 $51,516CARDINAL $323.98 $323.98 49 $15,875PARTNERS $348.75 $0.01 106 $17,089

EASTER SEALS UCP NORTH CAROLINA PARTNERS $348.75 $348.75 24 $8,370ENVISIONS OF LIFE LLC SANDHILLS $339.62 $339.62 54 $13,585FAMILY PRESERVATION SERVICES OF NC VAYA $304.18 $304.18 116 $19,164FELLOWSHIP HEALTH RESOURCES INC ALLIANCE $324.00 $324.00 140 $29,484LUTHERAN FAMILY SERVICES IN THE CAR CARDINAL $323.98 $323.98 27 $8,747

Page 9 of 51




RateRate

Mode# Units

PaidTotal Paid*

Assertive Community Treatm H0040 MERIDIAN BEHAVIORAL HEALTH SERVICES VAYA $304.18 $0.01 91 $9,430MONARCH CARDINAL $350.00 $323.98 259 $85,446

PARTNERS $348.75 $348.75 77 $16,740NEW DIMENSION GROUP LLC EASTPOINTE $312.50 $312.50 29 $9,063OCTOBER ROAD INC VAYA $304.18 $304.18 222 $50,190PERSON CENTERED PARTNERSHIPS INC. CARDINAL $323.98 $323.98 91 $26,242PHYSICIAN ALLIANCE FOR MENTAL HEALT TRILLIUM $1,182.00 $0.01 17 $2,364PSYCHOTHERAPEUTIC SERVICES INC CARDINAL $323.98 $323.98 31 $10,043

SANDHILLS $339.62 $339.62 78 $21,736RHA HEALTH SERVICES INC VAYA $304.18 $304.18 222 $52,015

TRILLIUM $1,182.00 $0.01 11 $3,546STRATEGIC INTERVENTIONS INC CARDINAL $323.98 $323.98 59 $19,115TELECARE MENTAL HEALTH SERVICES OF ALLIANCE $324.00 $324.00 90 $23,328THE MENTAL HEALTH FUND INC PARTNERS $348.75 $348.75 79 $14,299UNIVERSITY OF NORTH CAROLINA AT CHA ALLIANCE $324.00 $324.00 73 $23,652

CARDINAL $323.98 $323.98 40 $12,959WAYNESBORO FAMILY CLINIC P.A. EASTPOINTE $312.50 $312.50 43 $13,438

Assertive engagement YA323 FAMILY PRESERVATION SERVICES OF NC VAYA $15.00 $15.00 11 $165SOUTHLIGHT HEALTHCARE ALLIANCE $15.00 $15.00 40 $600TURNING POINT FAMILY CARE PLLC ALLIANCE $15.00 $15.00 13 $195

YA341 A CARING ALTERNATIVE LLC PARTNERS $15.00 $15.00 23 $345YA368 MERIDIAN BEHAVIORAL HEALTH SERVICES VAYA $15.00 $15.00 21 $315

Behavioral Health Counseling YP832 FREEDOM HOUSE RECOVERY CENTER INC CARDINAL $8.11 $8.11 23 $187Behavioral Health Counseling YP831 ALCOHOL AND DRUG SERVICES EAST SANDHILLS $19.81 $19.81 20 $396

PORT HUMAN SERVICES TRILLIUM $20.21 $19.67 29 $576CAET Group YA394 WATAUGA OPPORTUNITIES INC VAYA $3.75 $3.75 76 $285CAET school to work transitio YA382 JOHNSTON COUNTY INDUSTRIES INC SANDHILLS $2.27 $2.27 77 $175Clinical Evaluation/Intake - Te 90791 MONARCH ALLIANCE $67.80 $67.80 18 $1,220

CARDINAL $160.00 $160.00 24 $3,840EASTPOINTE $103.44 $103.44 14 $1,401PARTNERS $98.49 $98.49 30 $2,955

Page 10 of 51




RateRate

Mode# Units

PaidTotal Paid*

Clinical Evaluation/Intake 90791 A CARING ALTERNATIVE LLC PARTNERS $98.49 $98.49 29 $2,856A HELPING HAND OF WILMINGTON LLC TRILLIUM $94.04 $94.04 38 $3,574ALCOHOL AND DRUG SERVICES EAST SANDHILLS $110.68 $110.68 12 $1,328ANUVIA PREVENTION AND RECOVERY CENT CARDINAL $94.04 $94.04 63 $5,925BURKE COUNCIL ON ALCOHOLISM CHEMI PARTNERS $98.49 $98.49 11 $1,083CAROLINA OUTREACH LLC ALLIANCE $94.04 $94.04 95 $8,934

EASTPOINTE $94.04 $94.04 22 $2,069DAYMARK RECOVERY SERVICES INC CARDINAL $140.94 $140.94 335 $47,100

PARTNERS $98.49 $98.49 97 $9,549SANDHILLS $110.68 $110.68 108 $11,953VAYA $140.94 $140.94 23 $3,242

EASTER SEALS UCP NC & VA ALLIANCE $94.04 $94.04 11 $1,034EL FUTURO ALLIANCE $94.04 $94.04 23 $2,163FAMILY FIRST SUPPORT CENTER INC EASTPOINTE $94.04 $94.04 23 $2,143FAMILY PRESERVATION SERVICES OF NC VAYA $140.94 $140.94 35 $4,933FAMILY SERVICE OF THE PIEDMONT, INC SANDHILLS $110.68 $110.68 65 $7,194FELLOWSHIP HEALTH RESOURCES INC ALLIANCE $94.04 $94.04 18 $1,693FERNANDEZ COMMUNITY CENTER LLC ALLIANCE $94.04 $94.04 11 $1,034Greater Image Healthcare, Corp. ALLIANCE $94.04 $94.04 16 $1,484INNERVISION INC CARDINAL $94.04 $94.04 12 $1,128INSIGHT HUMAN SERVICES INC CARDINAL $94.04 $94.04 20 $1,881INTEGRATED BEHAVIORAL HEALTHCARE SE ALLIANCE $94.04 $94.04 32 $3,009MCLEOD ADDICTIVE DISEASE CENTER INC CARDINAL $110.68 $94.04 41 $4,005MONARCH ALLIANCE $94.04 $94.04 60 $5,642

CARDINAL $160.00 $160.00 109 $17,440EASTPOINTE $94.04 $94.04 36 $3,313PARTNERS $98.49 $98.49 32 $3,152SANDHILLS $110.68 $110.68 31 $3,431

NORTH CAROLINA RECOVERY SUPPORT SER ALLIANCE $94.04 $94.04 17 $1,599PARTNERS BEHAVIORAL HEALTH MANAG PARTNERS $98.49 $98.49 15 $1,477PHOENIX COUNSELING CENTER PARTNERS $98.49 $98.49 59 $5,811

Page 11 of 51




RateRate

Mode# Units

PaidTotal Paid*

Clinical Evaluation/Intake 90791 PORT HUMAN SERVICES EASTPOINTE $94.04 $94.04 20 $1,881TRILLIUM $94.04 $94.04 65 $6,113

PREMIER BEHAVIORAL SERVICES INC EASTPOINTE $94.04 $94.04 22 $2,069Recovery Innovations, Inc. ALLIANCE $106.58 $106.58 57 $6,075RESTORATION FAMILY SERVICERS INC ALLIANCE $94.04 $94.04 19 $1,787RHA HEALTH SERVICES INC CARDINAL $132.00 $132.00 38 $5,016

EASTPOINTE $94.04 $94.04 11 $1,034VAYA $140.94 $140.94 38 $5,356TRILLIUM $103.44 $103.44 16 $1,655

SOUTHLIGHT HEALTHCARE ALLIANCE $94.04 $94.04 62 $5,830THE COGNITIVE CONNECTION PARTNERS $98.49 $98.49 39 $3,783THE MENTAL HEALTH FUND INC PARTNERS $98.49 $98.49 24 $2,364TURNING POINT FAMILY CARE PLLC ALLIANCE $94.04 $94.04 56 $5,266UNIVERSITY OF NORTH CAROLINA AT CHA ALLIANCE $125.39 $94.04 82 $8,809VAYA HEALTH VAYA $140.94 $140.94 38 $5,356VISION BEHAVIORAL HEALTH SERVICES L CARDINAL $132.00 $132.00 27 $3,564WAYNESBORO FAMILY CLINIC P.A. EASTPOINTE $125.39 $94.04 50 $4,890RHA BEHAVIORAL HEALTH NC LLC SANDHILLS $110.68 $110.68 28 $3,099FREEDOM HOUSE RECOVERY CENTER INC ALLIANCE $94.04 $94.04 31 $2,915

CARDINAL $132.00 $132.00 32 $4,144COASTAL HORIZONS CENTER INC TRILLIUM $163.20 $163.20 88 $12,356

Community Rehabilitation Pro YP650 CLEVELAND VOCATIONAL INDUSTRIES IN PARTNERS $3.71 $3.71 45 $167Community Support Team H2015 A CARING ALTERNATIVE LLC PARTNERS $16.52 $16.52 52 $859

CAROLINA OUTREACH LLC ALLIANCE $14.50 $14.50 242 $3,509CARDINAL $18.52 $18.52 81 $1,500EASTPOINTE $14.50 $14.50 110 $1,595

DAYMARK RECOVERY SERVICES INC CARDINAL $20.00 $16.52 15 $262FAMILY PRESERVATION SERVICES OF NC VAYA $14.50 $14.50 116 $1,682MERIDIAN BEHAVIORAL HEALTH SERVICES VAYA $23.50 $23.50 85 $1,998MONARCH PARTNERS $16.52 $16.52 59 $975NORTH CAROLINA RECOVERY SUPPORT SER ALLIANCE $14.50 $14.50 155 $2,248

Page 12 of 51




RateRate

Mode# Units

PaidTotal Paid*

Community Support Team H2015 OUTREACH MANAGEMENT SERVICES PARTNERS $16.52 $16.52 22 $363PHYSICIAN ALLIANCE FOR MENTAL HEALT TRILLIUM $14.50 $14.50 15 $218PRIDE IN NORTH CAROLINA INC. EASTPOINTE $14.50 $14.50 21 $305PSYCHOTHERAPEUTIC SERVICES INC SANDHILLS $14.50 $14.50 37 $537RHA HEALTH SERVICES INC CARDINAL $21.95 $21.95 27 $593

EASTPOINTE $14.50 $14.50 62 $899VAYA $23.50 $23.50 292 $6,862

SOUTHLIGHT HEALTHCARE ALLIANCE $14.50 $14.50 18 $261TURNING POINT FAMILY CARE PLLC ALLIANCE $14.50 $14.50 188 $2,726WAYNESBORO FAMILY CLINIC P.A. EASTPOINTE $14.50 $14.50 328 $4,756FREEDOM HOUSE RECOVERY CENTER INC CARDINAL $16.52 $16.52 13 $215

Comprehensive Screening an YA377 COMMUNITY PARTNERSHIPS INC. ALLIANCE $19.45 $19.45 47 $914Crisis Evaluation & Observatio YA324 CUMBERLAND COUNTY HOSPITAL SYSTEM I ALLIANCE $13.06 $13.06 87 $1,136

Recovery Innovations, Inc. ALLIANCE $13.06 $13.06 160 $2,025YA369 PHOENIX COUNSELING CENTER PARTNERS $11.31 $11.31 20 $226

Critical Time Intervention YP400 A CARING ALTERNATIVE LLC PARTNERS $20.64 $20.64 27 $557PHOENIX COUNSELING CENTER PARTNERS $20.64 $20.64 36 $743

Day Activity YP660 ACHIEVE CASE MANAGEMENT SERVICES IN PARTNERS $3.75 $3.75 523 $1,959ADULT LIFE PROGRAMS INC PARTNERS $3.75 $3.75 247 $926AUTISM SOCIETY OF NORTH CAROLINA ALLIANCE $3.75 $3.75 115 $431

SANDHILLS $3.75 $3.75 131 $491BETTER DAYS AHEAD OF ROCKY MOUNT EASTPOINTE $1.71 $1.71 60 $103COASTAL RESIDENTIAL SERVICES INC TRILLIUM $2.50 $2.50 12 $30Community Workforce Solutions, Inc. CARDINAL $3.75 $3.75 421 $1,579COMSERV INC PARTNERS $3.75 $3.75 393 $1,474COUNTY OF HYDE TRILLIUM $2.75 $2.75 63 $172DREAM CONNECTIONS INC PARTNERS $3.75 $3.75 77 $289FOOTHILLS INDUSTRIES OF MCDOWELL CO PARTNERS $3.75 $3.75 15 $56GASTON SKILLS INC PARTNERS $3.75 $3.75 108 $405GREAT EXPECTATIONS DAY FACILITY AND ALLIANCE $3.75 $3.75 48 $180HOLY ANGELS INC PARTNERS $3.75 $3.75 355 $1,331

Page 13 of 51




RateRate

Mode# Units

PaidTotal Paid*

Day Activity YP660 HOMECARE MANAGEMENT CORPORATION CARDINAL $3.75 $3.75 89 $334LifeSpan, Inc. CARDINAL $3.75 $3.75 128 $480

PARTNERS $3.75 $3.75 754 $2,828SANDHILLS $68.25 $68.25 1098 $74,939

MENTAL HEALTH ASSOCIATES OF THE TRI SANDHILLS $3.75 $3.75 132 $495MONARCH CARDINAL $3.75 $3.75 408 $1,501

SANDHILLS $3.75 $3.75 20 $75TRILLIUM $3.75 $2.50 227 $624

NEW HORIZONS ADULT DAY SERVICES INC CARDINAL $3.75 $3.75 19 $71PARTNERS $3.75 $3.75 269 $1,008

ONE-ON-ONE CARE INC PARTNERS $3.75 $3.75 121 $454PARADIGM, INC. EASTPOINTE $3.75 $3.75 22 $83PARTNERS BEHAVIORAL HEALTH MANAG PARTNERS $3.75 $3.75 156 $585RAINBOW 66 STOREHOUSE INC ALLIANCE $1.46 $1.46 286 $418RENU LIFE EXTENDED INC SANDHILLS $3.75 $3.75 20 $75ROANOKE VALLEY ADULT DAY CARE CENTE CARDINAL $3.75 $3.75 11 $41SANCTUARY HOUSE INC SANDHILLS $3.75 $3.75 300 $1,125SKILL CREATIONS INC. CARDINAL $3.75 $3.75 18 $68

EASTPOINTE $3.75 $3.75 436 $1,635THE ENOLA GROUP INC PARTNERS $3.75 $3.75 87 $326THE ENRICHMENT CTR AN AFFL CHPT CARDINAL $3.75 $3.75 378 $1,418VOCA CORPORATION OF NORTH CAROLINA PARTNERS $3.75 $3.75 19 $71UMAR SERVICES INC CARDINAL $3.75 $3.75 451 $1,691

PARTNERS $3.75 $3.75 119 $446THERAPEUTIC ALTERNATIVES INC SANDHILLS $3.75 $3.75 687 $2,576

Day Supports YM580 ADULT CENTER FOR ENRICHMENT INC SANDHILLS $66.05 $66.05 106 $7,001Adult Day and Respite Care Center SANDHILLS $60.05 $60.05 223 $13,391AFTER GATEWAY INC SANDHILLS $90.00 $90.00 84 $7,560CLEVELAND VOCATIONAL INDUSTRIES IN PARTNERS $6.01 $3.84 302 $1,286GASTON SKILLS INC PARTNERS $3.84 $3.84 535 $2,054GOODWILL INDUSTRIES OF NWNC PARTNERS $3.84 $3.84 43 $165

Page 14 of 51




RateRate

Mode# Units

PaidTotal Paid*

Day Supports YM580 NEW HORIZONS ADULT DAY SERVICES INC PARTNERS $3.84 $3.84 72 $276ONE-ON-ONE CARE INC PARTNERS $6.01 $6.01 182 $1,021PARTNERS BEHAVIORAL HEALTH MANAG PARTNERS $3.84 $3.84 105 $403SKILL CREATIONS INC. PARTNERS $6.01 $6.01 58 $349THE CENTER FOR CREATING OPPORTUNITI PARTNERS $6.01 $6.01 43 $258LINDLEY HABILITATION SERVICES INC CARDINAL $96.32 $96.32 58 $5,587THERAPEUTIC ALTERNATIVES INC CARDINAL $112.23 $112.23 77 $8,642

Developmental Day YP610 BEAUFORT COUNTY DEVELOPMENTAL CENTE TRILLIUM $4.74 $4.74 101 $479CHAPEL HILL TRAINING OUTREACH PROJE CARDINAL $4.74 $4.74 47 $223EASTER SEALS UCP NC & VA TRILLIUM $4.74 $4.74 90 $427HOKE COUNTY ASSOC FOR DEVELOPMENTAL SANDHILLS $4.74 $4.74 53 $251LifeSpan, Inc. CARDINAL $4.74 $4.74 18 $85

SANDHILLS $4.74 $4.74 13 $62RHA HEALTH SERVICES NC LLC SANDHILLS $4.74 $4.74 127 $602SANDHILLS CHILDRENS CENTER SANDHILLS $4.74 $4.74 525 $2,487TLC OPERATIONS INC ALLIANCE $2.50 $2.50 23 $58

Developmental Therapy Servi H2014 A SMALL MIRACLE INC ALLIANCE $6.01 $6.01 43 $258ACI SUPPORT SPECIALISTS INC ALLIANCE $6.01 $6.01 188 $1,130AUTISM SOCIETY OF NORTH CAROLINA ALLIANCE $6.01 $6.01 211 $1,268

TRILLIUM $5.00 $5.00 244 $1,220BENJAMIN HOUSE CASE MANAGEMENT TRILLIUM $5.00 $5.00 23 $115CLEVELAND VOCATIONAL INDUSTRIES IN PARTNERS $6.01 $6.01 13 $78EASTER SEALS UCP NC & VA ALLIANCE $6.01 $6.01 144 $865

TRILLIUM $5.00 $5.00 211 $1,055HOKE COUNTY ASSOC FOR DEVELOPMENTAL SANDHILLS $6.01 $6.01 62 $373HUMAN RESOURCES UNLIMITED INC TRILLIUM $5.00 $5.00 24 $120INDEPENDENT HUMAN SERVICES LLC TRILLIUM $5.00 $5.00 11 $55LECHRIS HEALTH SYSTEMS OF GREENVILL TRILLIUM $6.01 $5.00 16 $82LECHRIS HEALTH SYSTEMS OF NEW BERN TRILLIUM $6.01 $5.00 22 $112MAXIM HEALTHCARE SERVICES ALLIANCE $6.01 $6.01 23 $138MONARCH SANDHILLS $6.01 $6.01 53 $319

Page 15 of 51




RateRate

Mode# Units

PaidTotal Paid*

Developmental Therapy Servi H2014 ONE-ON-ONE CARE INC PARTNERS $6.01 $6.01 65 $391PINNACLE HOME CARE INC. TRILLIUM $5.00 $5.00 61 $305RHA HEALTH SERVICES NC LLC SANDHILLS $6.01 $6.01 79 $475SANDHILLS CHILDRENS CENTER SANDHILLS $6.01 $6.01 250 $1,498SPECIALIZED SERVICES AND PERSONNEL SANDHILLS $6.01 $6.01 20 $120TURNING POINT SERVICES ALLIANCE $6.01 $6.01 59 $353Universal Mental Health Services, I ALLIANCE $6.01 $6.01 60 $361

TRILLIUM $5.00 $5.00 26 $130AUTISM SERVICES INCORPORATED ALLIANCE $6.01 $6.01 57 $343CNC ACCESS INC ALLIANCE $6.01 $6.01 275 $1,653

TRILLIUM $5.00 $5.00 36 $180Developmental Therapy Servi H2014 AUTUMN HALLS OF UNAKA #2 VAYA $2.01 $2.01 156 $314

LifeSpan, Inc. VAYA $2.01 $2.01 19 $38SUMMIT SUPPORT SERVICES OF ASHE INC VAYA $2.01 $2.01 67 $135THE ARC OF NORTH CAROLINA INC VAYA $2.01 $2.01 26 $52VAYA HEALTH VAYA $2.01 $2.01 96 $193

Developmental Therapy Servi H2014 ACI SUPPORT SPECIALISTS INC ALLIANCE $13.00 $13.00 73 $949RHA HEALTH SERVICES NC LLC SANDHILLS $8.34 $8.34 45 $375SANDHILLS CHILDRENS CENTER SANDHILLS $8.23 $8.23 123 $1,012

Diagnostic Assessment T1023 OUTREACH MANAGEMENT SERVICES PARTNERS $231.30 $231.30 12 $2,776PORT HUMAN SERVICES EASTPOINTE $231.30 $231.30 16 $3,701

TRILLIUM $254.43 $231.30 209 $50,678SUNPATH LLC PARTNERS $231.30 $231.30 17 $3,932

E&M-Detailed-Established Pa 99213 CENTRAL COMMUNITY SERVICES LLC CARDINAL $75.00 $75.00 11 $825CLIENTFIRST OF NC LLC EASTPOINTE $55.94 $55.94 25 $1,399COASTAL SOUTHEASTERN UNITED CARE EASTPOINTE $55.94 $55.94 19 $987

TRILLIUM $47.55 $47.55 17 $808COTTAGE HEALTH CARE SERVICES INC ALLIANCE $55.94 $55.94 15 $839CUMBERLAND COUNTY HOSPITAL SYSTEM I ALLIANCE $55.94 $47.55 65 $3,208DAYMARK RECOVERY SERVICES INC CARDINAL $130.00 $90.00 374 $33,090

PARTNERS $69.86 $69.86 18 $1,257Page 16 of 51




RateRate

Mode# Units

PaidTotal Paid*

E&M-Detailed-Established Pa 99213 DAYMARK RECOVERY SERVICES INC SANDHILLS $67.64 $67.64 85 $5,719VAYA $74.43 $74.43 30 $2,233

FAMILY FIRST SUPPORT CENTER INC EASTPOINTE $55.94 $55.94 11 $615FELLOWSHIP HEALTH RESOURCES INC ALLIANCE $55.94 $47.55 40 $2,070INSIGHT HUMAN SERVICES INC CARDINAL $75.00 $75.00 54 $4,050JOHNSTON CO HEALTH DEPT ALLIANCE $55.94 $55.94 64 $3,572MONARCH ALLIANCE $55.94 $47.55 59 $2,940

CARDINAL $140.00 $95.00 314 $29,935EASTPOINTE $55.94 $55.94 84 $4,582PARTNERS $69.86 $59.38 146 $8,646SANDHILLS $67.64 $57.49 42 $2,425TRILLIUM $110.00 $61.53 34 $2,334

OUTREACH MANAGEMENT SERVICES PARTNERS $69.86 $59.38 23 $1,408PHOENIX COUNSELING CENTER PARTNERS $69.86 $69.86 21 $1,467PHYSICIAN ALLIANCE FOR MENTAL HEALT TRILLIUM $61.53 $55.94 58 $3,295PORT HUMAN SERVICES EASTPOINTE $55.94 $47.55 35 $1,673

TRILLIUM $107.68 $47.55 228 $13,376RHA HEALTH SERVICES INC CARDINAL $90.00 $90.00 54 $4,650

VAYA $47.55 $47.55 24 $1,141TRILLIUM $61.53 $61.53 45 $2,503

SOUTHLIGHT HEALTHCARE ALLIANCE $55.94 $55.94 40 $2,238THE MENTAL HEALTH FUND INC PARTNERS $69.86 $69.86 35 $2,382TRINITY BEHAVIORAL HEALTHCARE PC CARDINAL $90.00 $90.00 113 $10,170TURNING POINT FAMILY CARE PLLC ALLIANCE $47.55 $47.55 27 $1,284VIDANT MEDICAL GROUP, LLC TRILLIUM $185.00 $185.00 30 $5,303WAYNESBORO FAMILY CLINIC P.A. EASTPOINTE $55.94 $55.94 100 $5,502RHA BEHAVIORAL HEALTH NC LLC EASTPOINTE $55.94 $55.94 50 $2,797

SANDHILLS $67.63 $67.63 74 $5,005RUDISILL FAMILY PRACTICE PARTNERS $59.38 $59.38 59 $3,503NCG ACQUISITION, LLC VAYA $74.43 $74.43 20 $1,489FREEDOM HOUSE RECOVERY CENTER INC ALLIANCE $55.94 $55.94 33 $1,843

Page 17 of 51




RateRate

Mode# Units

PaidTotal Paid*

E&M-Detailed-Established Pa 99213 FREEDOM HOUSE RECOVERY CENTER INC CARDINAL $90.00 $90.00 126 $10,251TRI COUNTY COMMUNITY HEALTH COUNCIL EASTPOINTE $55.94 $55.94 24 $1,343COASTAL HORIZONS CENTER INC TRILLIUM $85.00 $85.00 13 $951

E&M-Detailed-Established Pa 99213 DAYMARK RECOVERY SERVICES INC CARDINAL $130.00 $90.00 23 $2,150PARTNERS $69.86 $69.86 16 $1,118SANDHILLS $67.64 $67.64 62 $4,072VAYA $74.43 $74.43 54 $4,019

MONARCH ALLIANCE $55.94 $47.55 29 $1,396CARDINAL $95.00 $95.00 30 $2,850EASTPOINTE $55.94 $55.94 11 $582

PORT HUMAN SERVICES TRILLIUM $69.35 $61.53 36 $2,217RHA HEALTH SERVICES INC CARDINAL $90.00 $63.75 38 $2,524

E&M-Detailed-New Patient - T 99203 MONARCH ALLIANCE $83.36 $83.36 13 $1,084E&M-Expanded-Established P 99212 ALCOHOL AND DRUG SERVICES EAST SANDHILLS $40.50 $40.50 17 $656

RHA HEALTH SERVICES INC TRILLIUM $36.85 $28.48 92 $2,670E&M-High-Established Patien 99215 PORT HUMAN SERVICES TRILLIUM $219.45 $125.40 79 $10,559E&M-High-Established Patien 99215 DREAM PROVIDER CARE SERVICES TRILLIUM $125.40 $125.40 23 $2,884

PORT HUMAN SERVICES TRILLIUM $125.40 $125.40 12 $1,493E&M-High-New Patient 99205 A CARING ALTERNATIVE LLC PARTNERS $198.58 $198.58 14 $2,750

FAMILY SERVICE OF THE PIEDMONT, INC SANDHILLS $167.94 $167.94 12 $2,015PERSON CENTERED PARTNERSHIPS INC. CARDINAL $163.41 $163.41 13 $2,124PORT HUMAN SERVICES TRILLIUM $194.66 $179.75 16 $2,980THE MENTAL HEALTH FUND INC PARTNERS $198.58 $198.58 31 $5,947

E&M-High-New Patient - Tele 99205 MONARCH ALLIANCE $163.41 $163.41 19 $3,105E&M-Moderate-Established P 99214 A CARING ALTERNATIVE LLC PARTNERS $103.28 $103.28 29 $2,793

CAROLINA BEHAVIORAL CARE ALLIANCE $84.29 $71.65 20 $1,521CAROLINA OUTREACH LLC ALLIANCE $84.29 $71.65 315 $24,074

EASTPOINTE $84.29 $71.65 29 $2,242DAYMARK RECOVERY SERVICES INC CARDINAL $135.00 $125.00 147 $18,005


Page 18 of 51




RateRate

Mode# Units

PaidTotal Paid*

E&M-Moderate-Established P 99214 EL FUTURO ALLIANCE $84.29 $84.29 29 $2,444CARDINAL $150.00 $150.00 13 $1,770

FAMILY PRESERVATION SERVICES OF NC VAYA $105.00 $105.00 31 $3,255FAMILY SERVICE OF THE PIEDMONT, INC SANDHILLS $86.63 $86.63 60 $5,198Greater Image Healthcare, Corp. ALLIANCE $84.29 $84.29 20 $1,686INTEGRATED BEHAVIORAL HEALTHCARE SE ALLIANCE $84.29 $84.29 12 $1,011JOHNSTON CO HEALTH DEPT ALLIANCE $84.29 $84.29 27 $2,263MERIDIAN BEHAVIORAL HEALTH SERVICES VAYA $105.00 $105.00 51 $5,214MONARCH ALLIANCE $84.29 $71.65 37 $2,853


NEW DIMENSION GROUP LLC EASTPOINTE $84.29 $71.65 54 $3,958NORTH CAROLINA RECOVERY SUPPORT SER ALLIANCE $84.29 $84.29 33 $2,706OUTREACH MANAGEMENT SERVICES PARTNERS $87.79 $87.79 76 $6,672PERSON CENTERED PARTNERSHIPS INC. CARDINAL $105.00 $105.00 26 $2,730PHOENIX COUNSELING CENTER PARTNERS $103.28 $103.28 16 $1,652PORT HUMAN SERVICES EASTPOINTE $84.29 $71.65 54 $4,046

TRILLIUM $162.26 $92.72 462 $42,951PRIDE IN NORTH CAROLINA INC. CARDINAL $89.25 $89.25 11 $982PRIMARY HEALTH CHOICE, INC. EASTPOINTE $71.65 $71.65 17 $1,218RHA HEALTH SERVICES INC EASTPOINTE $71.65 $71.65 11 $788

VAYA $71.65 $71.65 87 $6,234TRILLIUM $92.72 $92.72 64 $5,681

SOUTHEASTERN REGIONAL MEDICAL CENTE EASTPOINTE $84.29 $71.65 12 $898SOUTHLIGHT HEALTHCARE ALLIANCE $84.29 $84.29 70 $5,888THE COGNITIVE CONNECTION PARTNERS $103.28 $103.28 31 $3,174THE MENTAL HEALTH FUND INC PARTNERS $103.28 $87.79 96 $8,877TRINITY BEHAVIORAL HEALTHCARE PC CARDINAL $125.00 $125.00 79 $9,858TURNING POINT FAMILY CARE PLLC ALLIANCE $71.65 $71.65 38 $2,723

Page 19 of 51




RateRate

Mode# Units

PaidTotal Paid*

E&M-Moderate-Established P 99214 VIDANT MEDICAL GROUP, LLC TRILLIUM $232.00 $232.00 17 $3,805VISION BEHAVIORAL HEALTH SERVICES L CARDINAL $89.25 $89.25 37 $3,302WAYNESBORO FAMILY CLINIC P.A. EASTPOINTE $84.29 $71.65 80 $6,136CROSSROADS TREATMENT CENTERS VAYA $76.76 $76.76 76 $5,834NCG ACQUISITION, LLC VAYA $105.00 $105.00 12 $1,260FREEDOM HOUSE RECOVERY CENTER INC CARDINAL $125.00 $89.25 23 $2,344COASTAL HORIZONS CENTER INC TRILLIUM $127.83 $127.83 110 $12,441

E&M-Moderate-Established P 99214 DAYMARK RECOVERY SERVICES INC CARDINAL $125.00 $125.00 52 $6,425PARTNERS $103.28 $103.28 32 $3,305SANDHILLS $98.86 $98.86 38 $3,598VAYA $105.00 $105.00 50 $5,250

DREAM PROVIDER CARE SERVICES TRILLIUM $92.72 $92.72 28 $2,596EASTER SEALS UCP NORTH CAROLINA EASTPOINTE $84.29 $84.29 20 $1,686MONARCH ALLIANCE $84.29 $71.65 39 $2,807

EASTPOINTE $84.29 $71.65 14 $1,028PHOENIX COUNSELING CENTER PARTNERS $103.28 $87.79 18 $1,689PORT HUMAN SERVICES TRILLIUM $101.97 $92.72 146 $13,450

E&M-Moderate-New Patient 99204 CAROLINA OUTREACH LLC ALLIANCE $129.27 $109.88 34 $4,027MONARCH CARDINAL $185.00 $185.00 21 $3,778

EASTPOINTE $129.27 $109.88 11 $1,306SANDHILLS $156.30 $132.86 12 $1,688

NORTH CAROLINA RECOVERY SUPPORT SER ALLIANCE $129.27 $129.27 12 $1,551PORT HUMAN SERVICES EASTPOINTE $129.27 $109.88 15 $1,687

TRILLIUM $248.85 $156.87 52 $7,212RHA HEALTH SERVICES INC CARDINAL $180.00 $180.00 11 $1,980SOUTHLIGHT HEALTHCARE ALLIANCE $129.27 $129.27 44 $5,630WAYNESBORO FAMILY CLINIC P.A. EASTPOINTE $129.27 $129.27 22 $2,708RHA BEHAVIORAL HEALTH NC LLC SANDHILLS $156.30 $156.30 15 $2,345RUDISILL FAMILY PRACTICE PARTNERS $135.18 $135.18 14 $1,893

E&M-Moderate-New Patient 99204 MONARCH PARTNERS $159.04 $135.18 27 $3,865PHOENIX COUNSELING CENTER PARTNERS $159.04 $135.18 25 $3,523

Page 20 of 51




RateRate

Mode# Units

PaidTotal Paid*

E&M-Moderate-New Patient 99204 PORT HUMAN SERVICES TRILLIUM $156.87 $156.87 21 $3,055E&M-Problem Focused-Estab 99211 JOHNSTON CO HEALTH DEPT ALLIANCE $16.82 $16.82 11 $185

RHA HEALTH SERVICES INC TRILLIUM $16.82 $16.82 50 $791Facility Based Crisis Program- YP485 ADDICTION RECOVERY CARE ASSOCIATION SANDHILLS $313.32 $300.47 114 $34,575

FREEDOM HOUSE RECOVERY CENTER INC SANDHILLS $313.32 $313.32 56 $17,546Facility Based Crisis Service S9484 CUMBERLAND COUNTY HOSPITAL SYSTEM I ALLIANCE $15.93 $15.93 62 $988

DAYMARK RECOVERY SERVICES INC CARDINAL $33.00 $18.78 829 $18,313PARTNERS $26.57 $26.57 192 $5,101VAYA $15.93 $15.93 129 $2,055

MONARCH EASTPOINTE $15.93 $15.93 93 $1,481PHOENIX COUNSELING CENTER PARTNERS $26.57 $21.88 605 $14,638PORT HUMAN SERVICES TRILLIUM $24.30 $24.30 671 $16,305Recovery Innovations, Inc. ALLIANCE $15.93 $15.93 217 $3,457

CARDINAL $23.90 $23.90 13 $311RHA HEALTH SERVICES INC TRILLIUM $30.02 $30.02 422 $12,668SYNERGY RECOVERY INC PARTNERS $18.44 $18.44 87 $1,597

VAYA $18.78 $18.78 239 $4,479UNIVERSITY OF NC HOSPITALS AT CHAPE ALLIANCE $15.93 $15.93 254 $4,010VAYA HEALTH VAYA $50.00 $50.00 441 $22,050FREEDOM HOUSE RECOVERY CENTER INC CARDINAL $18.78 $18.78 174 $3,268

Familiy Living - Mod YP750 ALPHA MNGMENT COMMUNITY SVCS INC CARDINAL $60.00 $30.76 14 $510BETTER CONNECTIONS INC EASTPOINTE $117.42 $117.42 30 $3,523EASTER SEALS UCP NC & VA TRILLIUM $46.83 $46.83 30 $1,405EDUCARE COMMUNITY LIVING CORP NC EASTPOINTE $105.72 $105.72 30 $3,172PARADIGM, INC. EASTPOINTE $52.03 $52.03 30 $1,561PATHWAYS FOR THE FUTURE VAYA $77.50 $77.50 18 $1,395SKILL CREATIONS INC. PARTNERS $70.47 $70.47 52 $3,664STILL FAMILY LLC CARDINAL $30.76 $30.76 60 $1,846TURNING POINT SERVICES PARTNERS $100.00 $100.00 30 $3,000VOCA CORPORATION OF NORTH CAROLINA VAYA $90.00 $90.00 28 $2,520

Family Living - High YM755 ALBERTA PROFESSIONAL SERVICES INC VAYA $150.00 $100.00 99 $10,600Page 21 of 51




RateRate

Mode# Units

PaidTotal Paid*

Family Living - High YM755 COMMUNITY COMPANION HOME CARE LLC VAYA $100.00 $100.00 38 $3,800COMSERV INC PARTNERS $100.00 $100.00 30 $3,000DAVIDSON HOMES INC VAYA $100.00 $100.00 30 $3,000HOMECARE MANAGEMENT CORPORATION PARTNERS $100.00 $100.00 30 $3,000

VAYA $100.00 $100.00 29 $2,900LifeSpan, Inc. VAYA $100.00 $100.00 57 $5,700RAY OF LIGHT HOMES, LLC. VAYA $100.00 $100.00 30 $3,000REACH FOR INDEPENDENCE INC VAYA $100.00 $100.00 30 $3,000SUMMERLAND HOMES INC VAYA $100.00 $100.00 30 $3,000VOCA CORPORATION OF NORTH CAROLINA PARTNERS $100.00 $100.00 178 $17,800

Family Living - Low YP740 A SMALL MIRACLE INC CARDINAL $21.73 $21.73 30 $652BETTER DAYS AHEAD OF ROCKY MOUNT EASTPOINTE $70.47 $70.47 30 $2,114EASTER SEALS UCP NC & VA TRILLIUM $56.50 $56.50 30 $1,695EDUCARE COMMUNITY LIVING CORP NC EASTPOINTE $116.00 $116.00 238 $27,608HERBERT REID HOME EASTPOINTE $70.47 $70.47 30 $2,114MCDANIEL HOMES, LLC CARDINAL $82.65 $30.00 112 $5,967OMNI VISIONS INC VAYA $90.00 $90.00 90 $8,100RHA HEALTH SERVICES NC LLC CARDINAL $50.00 $50.00 60 $3,000

EASTPOINTE $70.47 $70.47 30 $2,114SKILL CREATIONS INC. PARTNERS $52.03 $52.03 65 $3,382SUMMIT SUPPORT SERVICES OF ASHE INC VAYA $55.00 $55.00 29 $1,595THE ENOLA GROUP INC PARTNERS $52.03 $52.03 27 $1,405VOCA CORPORATION OF NORTH CAROLINA PARTNERS $70.47 $70.47 30 $2,114

VAYA $55.00 $55.00 30 $1,650Group Living - Hi YP780 ADDICTION RECOVERY CARE ASSOCIATION CARDINAL $141.51 $141.51 63 $8,915


ANUVIA PREVENTION AND RECOVERY CENT CARDINAL $66.11 $66.11 725 $47,930CRANDELL'S ENTERPRISES INC ALLIANCE $141.51 $141.51 23 $3,255

CARDINAL $141.51 $66.11 28 $2,077DAVIDSON HOMES INC PARTNERS $141.51 $141.51 83 $11,745

Page 22 of 51




RateRate

Mode# Units

PaidTotal Paid*

Group Living - Hi YP780 DAYMARK RECOVERY SERVICES INC SANDHILLS $141.51 $141.51 764 $108,114EASTER SEALS UCP NC & VA CARDINAL $228.00 $161.00 166 $31,669EDWARDS COMMUNITY SUPPORT SVCS ALLIANCE $141.51 $141.51 480 $67,925

SANDHILLS $141.51 $141.51 27 $3,821ELITE CARE SERVICE INC ALLIANCE $126.24 $126.24 43 $5,428ETTA'S RESIDENTIAL SERVICES ALLIANCE $250.00 $250.00 47 $8,929HOLY ANGELS INC PARTNERS $420.26 $420.26 526 $212,416House of Care, Inc. ALLIANCE $141.51 $141.51 30 $4,245I INNOVATIONS INC. ALLIANCE $141.51 $141.51 60 $8,491

EASTPOINTE $141.51 $141.51 30 $4,245INDEPENDENT LIVING GROUP HOME LLC PARTNERS $442.00 $442.00 30 $13,260KD SUPPORT SERVICES VAYA $141.15 $141.15 156 $22,019LIBERTY CORNER ENTERPRISES INC. VAYA $141.15 $141.15 30 $4,235LifeSpan, Inc. CARDINAL $169.84 $131.22 72 $9,872LUTHERAN FAMILY SERVICES IN THE CAR CARDINAL $141.50 $141.50 90 $12,735

SANDHILLS $141.51 $141.51 28 $3,962MACBILL INC ALLIANCE $141.51 $141.51 136 $19,245

EASTPOINTE $141.51 $141.51 26 $3,679MARSH'S RESIDENTIAL LIVING, LLC CARDINAL $66.11 $66.11 27 $1,785MCLEOD ADDICTIVE DISEASE CENTER INC CARDINAL $141.51 $141.51 203 $28,727MONARCH CARDINAL $225.00 $188.00 212 $43,149

SANDHILLS $141.51 $141.51 139 $19,670ONASS PLACE CARDINAL $141.51 $141.51 21 $2,972PARTNERS BEHAVIORAL HEALTH MANAG PARTNERS $310.00 $141.51 212 $45,164PATH OF HOPE INC. CARDINAL $115.00 $115.00 289 $33,235

SANDHILLS $141.51 $141.51 14 $1,981PLUMB LINE SERVICES INC. TRILLIUM $141.51 $141.51 30 $4,245RENU LIFE EXTENDED INC SANDHILLS $141.51 $141.51 30 $4,245ROUSES GROUP HOME II INC. CARDINAL $141.51 $141.51 65 $9,198

SANDHILLS $141.51 $141.51 28 $3,962SAMARITAN COLONY SANDHILLS $141.51 $141.51 258 $36,510

Page 23 of 51




RateRate

Mode# Units

PaidTotal Paid*

Group Living - Hi YP780 THE TRINITY HOME TRILLIUM $141.51 $141.51 28 $3,962ULTIMATE FAMILY HOME CARE INC ALLIANCE $141.51 $141.51 90 $12,736VAYA HEALTH VAYA $141.15 $141.15 54 $7,622SUNRISE RESIDENTIAL CARE LLC ALLIANCE $141.51 $141.51 60 $8,491EASON COURT GROUP HOME CARDINAL $141.51 $141.51 97 $13,726MULTICULTURAL RESOURCES CENTER, INC ALLIANCE $132.89 $132.89 120 $15,947

SANDHILLS $141.51 $141.51 30 $4,245AGAPE HOME LIVING CARE, LLC CARDINAL $141.51 $141.51 30 $4,245

Group Living - Low YP760 BETHESDA INC SANDHILLS $55.29 $55.29 271 $14,884BURKE COUNCIL ON ALCOHOLISM CHEMI PARTNERS $55.29 $55.29 159 $8,791C R E S T GROUP HOME ALLIANCE $55.29 $55.29 557 $30,797

SANDHILLS $55.29 $55.29 24 $1,327COMMUNITY ALTERNATIVES INCORPORATED CARDINAL $168.48 $168.48 259 $43,636COMMUNITY INNOVATIONS INC EASTPOINTE $55.29 $55.29 88 $4,866COUNTRY PINES INC EASTPOINTE $55.29 $55.29 30 $1,659DUPLIN SAMPSON GROUP HOMES INC EASTPOINTE $55.29 $55.29 359 $19,849EASTER SEALS UCP NC & VA CARDINAL $40.18 $40.18 498 $19,717

EASTPOINTE $55.29 $55.29 90 $4,976SANDHILLS $55.29 $55.29 367 $20,291VAYA $55.29 $55.29 180 $9,952TRILLIUM $55.29 $55.29 120 $6,635

First Step Farm of WNC VAYA $95.32 $95.32 1029 $98,084GROUP HOMES OF FORSYTH CARDINAL $55.29 $55.29 499 $27,590HOPE HAVEN INC. CARDINAL $61.10 $61.10 1148 $70,142HOWELL SUPPORT SERVICES LLC EASTPOINTE $55.29 $55.29 120 $6,635INREACH CARDINAL $55.29 $55.29 898 $49,650KD SUPPORT SERVICES VAYA $30.00 $30.00 27 $810KYSEEMS UNITY GROUP HOME LLC EASTPOINTE $55.29 $55.29 30 $1,659LEE COUNTY GROUP HOME INC SANDHILLS $55.29 $55.29 240 $13,270MILLING MANOR INC CARDINAL $55.29 $55.29 87 $4,810MITCHELL COUNTY GROUP HOME VAYA $55.29 $55.29 120 $6,635

Page 24 of 51




RateRate

Mode# Units

PaidTotal Paid*

Group Living - Low YP760 MONARCH CARDINAL $60.00 $55.29 135 $7,605PARTNERS $55.29 $55.29 27 $1,493SANDHILLS $55.29 $55.29 441 $24,383

MOUNTAIN AREA RESIDENTIAL FACILITIE VAYA $55.29 $55.29 30 $1,659MYROVER REESE QUALITY ROAD ALLIANCE $46.73 $46.73 169 $7,893NEW DESTINATIONS INC CARDINAL $55.29 $55.29 229 $12,661PARTNERS BEHAVIORAL HEALTH MANAG PARTNERS $55.29 $55.29 1311 $65,397PATH OF HOPE INC. CARDINAL $55.29 $55.29 50 $2,765

SANDHILLS $55.29 $55.29 28 $1,548PRI COUNSELING SERVICES SANDHILLS $55.29 $55.29 240 $13,270PROFESSIONAL FAMILY CARE SERVICES I ALLIANCE $55.29 $55.29 30 $1,659RESIDENTIAL TREATMENT SERVICES CARDINAL $55.29 $55.29 24 $1,327RHA HEALTH SERVICES NC LLC ALLIANCE $32.61 $32.61 30 $978

CARDINAL $55.29 $55.29 373 $20,623EASTPOINTE $83.59 $74.64 441 $33,110SANDHILLS $55.29 $55.29 785 $43,403VAYA $55.29 $55.29 59 $3,262TRILLIUM $55.29 $55.29 107 $5,916

ROBESON HEALTH CARE CORPORATION EASTPOINTE $151.08 $151.08 269 $40,641SANDHILLS $135.16 $135.16 131 $17,706

ROUSES GROUP HOME II INC. CARDINAL $55.29 $28.92 206 $8,041SKILL CREATIONS INC. CARDINAL $28.92 $28.92 24 $694

EASTPOINTE $55.29 $55.29 176 $9,731THE MENTAL HEALTH FUND INC PARTNERS $55.29 $55.29 477 $26,373TRANSYLVANIA ASSOCIATION FOR DISABL VAYA $55.29 $55.29 90 $4,976TRANSYLVANIA VOCATIONAL SERVICES IN VAYA $55.29 $55.29 28 $1,548TURNING POINT SERVICES PARTNERS $55.29 $55.29 88 $4,866

VAYA $30.00 $30.00 187 $5,610WNC MADISON COUNTY HOUSING CORP VAYA $55.29 $55.29 57 $3,152REMMSCO INC CARDINAL $55.29 $55.29 14 $774UMAR SERVICES INC PARTNERS $55.29 $55.29 77 $4,257

Page 25 of 51




RateRate

Mode# Units

PaidTotal Paid*

Group Living - Low YP760 UMAR SERVICES INC VAYA $55.29 $55.29 41 $2,154AUTISM SERVICES INCORPORATED ALLIANCE $52.60 $52.60 114 $5,996

Group Living - Mod YP770 ALPHA HOME CARE SERVICES INC VI ALLIANCE $75.48 $75.48 30 $2,264AUTISM SERVICES OF MECKLENBURG COUN CARDINAL $75.48 $75.48 99 $7,473AUTUMN HALLS OF UNAKA #2 VAYA $75.48 $75.48 120 $9,058CABARRUS COUNTY GROUP HOMES INC CARDINAL $41.05 $41.05 125 $5,131CAROLINA RESIDENTAL CARE INC SANDHILLS $110.00 $110.00 60 $6,300CAROLINA RESIDENTIAL SERVICES INC. PARTNERS $75.48 $75.48 150 $11,322CAROLINAS HOME CARE AGENCY INC EASTPOINTE $75.00 $75.00 30 $2,250CHATHAM COUNTY GROUP HOMES, INC CARDINAL $41.05 $41.05 33 $1,355COMMUNITY ALTERNATIVES INCORPORATED ALLIANCE $202.87 $147.65 87 $13,784

CARDINAL $268.99 $268.99 308 $82,849COMSERV INC PARTNERS $75.48 $75.48 180 $13,586CRANDELL'S ENTERPRISES INC ALLIANCE $75.48 $75.48 94 $7,095D D RESIDENTIAL SERVICES INC CARDINAL $50.00 $50.00 479 $23,950DAYMARK RECOVERY SERVICES INC SANDHILLS $75.48 $75.48 395 $29,815DURHAM COUNTY COMMUNITY LIVING PROG ALLIANCE $69.89 $69.89 555 $38,789EASTER SEALS UCP NC & VA ALLIANCE $70.95 $70.95 120 $8,514

CARDINAL $75.48 $41.05 149 $7,287EASTPOINTE $75.48 $75.48 440 $33,211PARTNERS $75.48 $75.48 30 $2,264SANDHILLS $75.48 $75.48 82 $6,189VAYA $75.48 $75.48 312 $23,550

GASTON RESIDENTIAL SERVICESINC PARTNERS $75.48 $75.48 141 $10,643GAYLAIN'S HOUSE OF HOPE PARTNERS $75.48 $75.48 232 $17,511GROUP HOMES OF FORSYTH CARDINAL $75.48 $75.48 52 $3,925HAYWOOD COUNTY GROUP HOME VAYA $45.00 $45.00 222 $9,990HIGHER HORIZONSINC ALLIANCE $75.48 $75.48 30 $2,264HOLY ANGELS INC PARTNERS $75.48 $75.48 60 $4,529HOME CARE SOLUTIONS OF NC LLC PARTNERS $75.48 $75.48 11 $830House of Care, Inc. ALLIANCE $75.48 $75.48 60 $4,529

Page 26 of 51




RateRate

Mode# Units

PaidTotal Paid*

Group Living - Mod YP770 HOWELL SUPPORT SERVICES LLC EASTPOINTE $75.48 $75.48 30 $2,264I INNOVATIONS INC. ALLIANCE $75.48 $75.48 60 $4,529INREACH CARDINAL $67.00 $67.00 258 $17,286JMJ ENTERPRISES LLC EASTPOINTE $75.48 $75.48 30 $2,264KD SUPPORT SERVICES VAYA $45.00 $45.00 66 $2,970KYSEEMS UNITY GROUP HOME LLC EASTPOINTE $75.48 $75.48 28 $2,113LIBERTY CORNER ENTERPRISES INC. VAYA $75.48 $75.48 119 $8,982LIFE INC. CARDINAL $75.48 $75.48 124 $9,360

TRILLIUM $58.21 $58.21 259 $15,076LifeSpan, Inc. CARDINAL $41.05 $41.05 30 $1,232

VAYA $75.48 $75.48 106 $8,001LUTHERAN FAMILY SERVICES IN THE CAR ALLIANCE $65.42 $65.42 90 $5,888MCDANIEL HOMES, LLC CARDINAL $75.48 $75.48 28 $2,113MCLEOD ADDICTIVE DISEASE CENTER INC CARDINAL $120.00 $120.00 135 $16,200MILLING MANOR INC CARDINAL $75.48 $75.48 35 $2,642MISS DAISYS AND ASSOCIATES INC EASTPOINTE $75.48 $75.48 150 $11,322MONARCH ALLIANCE $75.48 $75.48 299 $22,569

CARDINAL $137.93 $75.48 978 $79,190EASTPOINTE $75.48 $75.48 117 $8,831PARTNERS $75.48 $75.48 53 $4,000SANDHILLS $75.48 $75.48 1645 $124,165VAYA $75.48 $75.48 148 $11,171TRILLIUM $137.93 $58.21 581 $52,235

MOUNTAIN AREA RESIDENTIAL FACILITIE VAYA $45.00 $45.00 30 $1,350MYROVER REESE QUALITY ROAD ALLIANCE $99.00 $99.00 134 $13,159NEW DESTINATIONS INC ALLIANCE $36.29 $36.29 229 $8,248

CARDINAL $55.29 $55.29 27 $1,493EASTPOINTE $75.48 $75.48 90 $6,793PARTNERS $75.48 $75.48 150 $11,322

PARADIGM, INC. EASTPOINTE $175.00 $75.48 60 $7,514PARTNERS BEHAVIORAL HEALTH MANAG PARTNERS $258.00 $75.48 1049 $84,217

Page 27 of 51




RateRate

Mode# Units

PaidTotal Paid*

Group Living - Mod YP770 PERSON COUNTY GROUP HOMES INC CARDINAL $75.48 $75.48 132 $9,963PITT COUNTY GROUP BOARD FOR MENTALL TRILLIUM $58.21 $58.21 38 $2,212PORT HUMAN SERVICES SANDHILLS $157.00 $157.00 196 $30,772

TRILLIUM $157.00 $157.00 232 $36,424RALPH SCOTT LIFESERVICES INC CARDINAL $7,548.00 $75.48 542 $48,383RECOVERY CONNECTIONS OF DURHAM ALLIANCE $90.63 $90.63 229 $20,548RENU LIFE LLC ALLIANCE $71.23 $71.23 26 $1,852RENU LIFE EXTENDED INC ALLIANCE $70.95 $70.95 30 $2,129RESIDENTIAL SERVICES INC ALLIANCE $75.48 $75.48 30 $2,264

CARDINAL $100.00 $100.00 28 $2,800RESIDENTIAL SUPPORT SERVICES OF WAK ALLIANCE $113.65 $113.65 267 $30,345RESIDENTIAL TREATMENT SERVICES CARDINAL $75.48 $75.48 16 $1,208RHA HEALTH SERVICES NC LLC ALLIANCE $70.95 $70.95 105 $7,450

CARDINAL $75.48 $75.48 321 $24,229PARTNERS $75.48 $75.48 30 $2,264SANDHILLS $110.66 $110.66 30 $3,320VAYA $45.00 $45.00 136 $6,120

ROBESON HEALTH CARE CORPORATION TRILLIUM $144.56 $144.56 262 $37,875ROUSES GROUP HOME II INC. CARDINAL $75.48 $41.05 94 $4,871

SANDHILLS $75.48 $75.48 60 $4,529SOMEONE DOES CARE EASTPOINTE $75.48 $75.48 90 $6,793SOPHIA B PIERCE AND ASSOCIATES INC EASTPOINTE $75.48 $75.48 89 $6,718SOUTHLIGHT HEALTHCARE ALLIANCE $75.48 $75.48 176 $13,284SPIRIT OF EXCELLENCE COMMUNITY OUTR ALLIANCE $75.48 $75.48 30 $2,264SUMMIT SUPPORT SERVICES OF ASHE INC PARTNERS $75.48 $75.48 29 $2,189

VAYA $45.00 $45.00 174 $7,830THE ARC OF DAVIDSON COUNTY CARDINAL $41.07 $41.05 41 $1,683THE ASBURY HOMES INC EASTPOINTE $75.48 $75.48 107 $8,076TURNING POINT SERVICES PARTNERS $75.48 $75.48 30 $2,264

VAYA $45.00 $45.00 89 $4,005ULTIMATE FAMILY HOME CARE INC ALLIANCE $75.00 $75.00 30 $2,250

Page 28 of 51




RateRate

Mode# Units

PaidTotal Paid*

Group Living - Mod YP770 UNIVERSITY OF NORTH CAROLINA AT CHA CARDINAL $315.00 $315.00 274 $86,310VAYA HEALTH VAYA $45.00 $45.00 397 $17,865VISION YOUTH GROUP HOMES TRILLIUM $157.00 $157.00 258 $40,506WATAUGA OPPORTUNITIES INC VAYA $45.00 $45.00 28 $1,260WITH A PURPOSE FAMILY CARE#2 WOODY EASTPOINTE $75.48 $75.48 120 $9,058JACE HEALTHCARE SERVICES INC ALLIANCE $75.48 $75.48 30 $2,264UMAR SERVICES INC CARDINAL $41.05 $41.05 133 $5,460

PARTNERS $75.48 $75.48 113 $8,529UNION COUNTY RESIDENTIAL SERVICES I CARDINAL $41.05 $41.05 15 $616AUTISM SERVICES INCORPORATED ALLIANCE $110.95 $69.53 171 $14,292BARBARA WATERS EASTPOINTE $75.48 $75.48 60 $4,529BRUSHY MOUNTAIN GROUP HOMES INC VAYA $45.00 $39.00 360 $14,805HEAVENLY PLACE LLC ALLIANCE $75.48 $75.48 22 $1,661THERAPEUTIC ALTERNATIVES INC SANDHILLS $75.48 $75.48 436 $32,909TRI COUNTY COMMUNITY HEALTH COUNCIL EASTPOINTE $75.48 $75.48 383 $28,909

Group Therapy (non-multiple 90853 A HELPING HAND OF WILMINGTON LLC TRILLIUM $19.18 $19.18 46 $882ALCOHOL AND DRUG SERVICES EAST SANDHILLS $22.58 $22.58 199 $4,483BURKE COUNCIL ON ALCOHOLISM CHEMI PARTNERS $36.00 $36.00 94 $3,384CAROLINA OUTREACH LLC ALLIANCE $19.18 $19.18 266 $5,102

EASTPOINTE $19.18 $19.18 38 $729CARTERET COUNSELING SERVICES INC TRILLIUM $19.18 $19.18 71 $1,362COMMUNITY-BASED DEVELOPMENTAL SERVI ALLIANCE $19.18 $19.18 74 $1,419DAYMARK RECOVERY SERVICES INC CARDINAL $50.00 $48.66 1131 $55,022


EL FUTURO ALLIANCE $19.18 $19.18 26 $499ELITE CARE SERVICE INC ALLIANCE $19.18 $19.18 38 $729FAMILY SERVICE OF THE PIEDMONT, INC SANDHILLS $22.58 $22.58 188 $4,245FELLOWSHIP HEALTH RESOURCES INC ALLIANCE $19.18 $19.18 91 $1,745INSIGHT HUMAN SERVICES INC CARDINAL $36.00 $36.00 184 $6,592

Page 29 of 51




RateRate

Mode# Units

PaidTotal Paid*

Group Therapy (non-multiple 90853 MCLEOD ADDICTIVE DISEASE CENTER INC CARDINAL $36.00 $36.00 30 $1,080MERIDIAN BEHAVIORAL HEALTH SERVICES VAYA $48.66 $48.66 16 $779MONARCH ALLIANCE $19.18 $19.18 28 $505

CARDINAL $50.00 $50.00 53 $2,650PARTNERS $36.00 $36.00 11 $396SANDHILLS $22.58 $22.58 31 $700

PHOENIX COUNSELING CENTER PARTNERS $36.00 $36.00 89 $3,204PORT HUMAN SERVICES EASTPOINTE $19.18 $19.18 104 $1,995

TRILLIUM $26.09 $19.18 608 $12,961REPAY INC PARTNERS $36.00 $36.00 25 $900RESTORATION FAMILY SERVICERS INC ALLIANCE $19.18 $19.18 36 $690RHA HEALTH SERVICES INC CARDINAL $48.66 $48.66 34 $1,654

EASTPOINTE $19.18 $19.18 25 $480VAYA $48.66 $48.66 185 $9,002TRILLIUM $19.18 $19.18 42 $806

SOUTHLIGHT HEALTHCARE ALLIANCE $19.18 $19.18 29 $556SUNPATH LLC PARTNERS $36.00 $36.00 53 $1,908THE COGNITIVE CONNECTION PARTNERS $36.00 $36.00 130 $4,680TRINITY BEHAVIORAL HEALTHCARE PC CARDINAL $48.66 $48.66 86 $4,185VAYA HEALTH VAYA $48.66 $48.66 146 $7,104RHA BEHAVIORAL HEALTH NC LLC EASTPOINTE $19.18 $19.18 27 $518

SANDHILLS $22.58 $22.58 26 $587NCG ACQUISITION, LLC VAYA $48.66 $48.66 37 $1,753FREEDOM HOUSE RECOVERY CENTER INC ALLIANCE $19.18 $19.18 23 $441

CARDINAL $48.66 $48.66 39 $1,873COASTAL HORIZONS CENTER INC TRILLIUM $51.70 $51.70 108 $4,478BHG XXXVI LLC VAYA $24.43 $24.43 13 $318

Hospital Discharge Day 30 mi 99238 JOHNSTON CO HEALTH DEPT ALLIANCE $59.28 $59.28 25 $1,482Hospital Discharge Transition YA346 THERAPEUTIC ALTERNATIVES INC ALLIANCE $18.25 $18.25 342 $6,242Ind Placement Support/Suppo YP630 CLIENTFIRST OF NC LLC EASTPOINTE $22.82 $22.82 79 $1,803

COMMUNITY PARTNERSHIPS INC. ALLIANCE $19.02 $19.02 58 $1,103Page 30 of 51




RateRate

Mode# Units

PaidTotal Paid*

Ind Placement Support/Suppo YP630 EASTER SEALS UCP NC & VA ALLIANCE $19.02 $19.02 290 $5,516SANDHILLS $19.02 $19.02 17 $323TRILLIUM $19.02 $19.02 33 $599

EASTER SEALS UCP NORTH CAROLINA ALLIANCE $19.02 $19.02 65 $1,236EMPLOYMENT SOURCE INC ALLIANCE $19.02 $19.02 53 $1,008FAMILY FIRST SUPPORT CENTER INC EASTPOINTE $19.02 $19.02 307 $5,830FAMILY PRESERVATION SERVICES OF NC VAYA $22.82 $22.82 71 $1,620INNERVISION INC CARDINAL $19.02 $19.02 123 $2,339JOHNSTON COUNTY INDUSTRIES INC ALLIANCE $19.02 $19.02 134 $2,549

SANDHILLS $19.02 $19.02 26 $495MERIDIAN BEHAVIORAL HEALTH SERVICES VAYA $22.82 $22.82 46 $1,050MONARCH ALLIANCE $19.02 $19.02 42 $799


NEW DIMENSION GROUP LLC EASTPOINTE $19.02 $19.02 118 $2,244PHYSICIAN ALLIANCE FOR MENTAL HEALT TRILLIUM $22.82 $22.82 102 $2,328PQA HEALTHCARE INC CARDINAL $19.02 $19.02 39 $742

PARTNERS $19.02 $14.22 70 $1,043RHA HEALTH SERVICES INC VAYA $19.02 $19.02 53 $1,008RHA HEALTH SERVICES NC LLC CARDINAL $22.82 $22.82 159 $3,359UNIVERSITY OF NORTH CAROLINA AT CHA CARDINAL $27.32 $27.32 119 $3,237RHA BEHAVIORAL HEALTH NC LLC SANDHILLS $19.02 $19.02 91 $1,731

Independent Living-MR/MI YM700 COMMUNITY SUPPORT SERVICE LLC SANDHILLS $37.34 $37.34 30 $1,120RHA HEALTH SERVICES NC LLC EASTPOINTE $68.15 $68.15 164 $11,177SPECIALIZED SERVICES AND PERSONNEL SANDHILLS $16.68 $16.68 30 $500UNIVERSITY OF NORTH CAROLINA AT CHA ALLIANCE $23.34 $23.34 30 $700VOCA CORPORATION OF NORTH CAROLINA PARTNERS $38.80 $38.80 60 $2,328

Individual Therapy (20-30 min 90832 ALCOHOL AND DRUG SERVICES EAST SANDHILLS $46.12 $46.12 46 $2,053CAROLINA OUTREACH LLC ALLIANCE $39.18 $39.18 11 $431

Page 31 of 51




RateRate

Mode# Units

PaidTotal Paid*

Individual Therapy (20-30 min 90832 DAYMARK RECOVERY SERVICES INC CARDINAL $75.00 $52.24 40 $2,105PARTNERS $47.72 $47.72 66 $3,150SANDHILLS $46.12 $46.12 33 $1,522VAYA $52.24 $52.24 33 $1,724

INSIGHT HUMAN SERVICES INC CARDINAL $39.18 $39.18 31 $1,215MCLEOD ADDICTIVE DISEASE CENTER INC CARDINAL $39.18 $39.18 75 $2,939MERIDIAN BEHAVIORAL HEALTH SERVICES VAYA $52.24 $52.24 19 $993MONARCH EASTPOINTE $39.18 $39.18 25 $979

PARTNERS $47.72 $47.72 48 $2,291OUTREACH MANAGEMENT SERVICES PARTNERS $63.63 $47.72 29 $1,432PORT HUMAN SERVICES EASTPOINTE $39.18 $39.18 61 $2,390

TRILLIUM $48.81 $39.18 196 $7,727PRIMARY HEALTH CHOICE, INC. EASTPOINTE $39.18 $39.18 13 $509RHA HEALTH SERVICES INC CARDINAL $45.36 $45.36 13 $590

EASTPOINTE $39.18 $39.18 16 $625VAYA $52.24 $52.24 12 $627

THE MENTAL HEALTH FUND INC PARTNERS $47.72 $47.72 45 $2,147FREEDOM HOUSE RECOVERY CENTER INC CARDINAL $60.48 $45.36 16 $741COASTAL HORIZONS CENTER INC TRILLIUM $70.00 $70.00 51 $3,262BHG XXXVI LLC VAYA $34.18 $34.18 20 $684

Individual Therapy (20-30 min 90833 A CARING ALTERNATIVE LLC PARTNERS $33.86 $29.67 14 $428Individual Therapy (45-50 min 90834 A CARING ALTERNATIVE LLC PARTNERS $63.29 $63.29 98 $6,195

A HELPING HAND OF WILMINGTON LLC TRILLIUM $50.89 $50.89 57 $2,901BURKE COUNCIL ON ALCOHOLISM CHEMI PARTNERS $63.29 $63.29 20 $1,266CAROLINA OUTREACH LLC ALLIANCE $50.89 $50.89 12 $611COUNTY OF CATAWBA OFFICE OF ACCOUNT PARTNERS $63.29 $63.29 33 $2,089CUMBERLAND COUNTY HOSPITAL SYSTEM I ALLIANCE $50.89 $50.89 31 $1,578DAYMARK RECOVERY SERVICES INC CARDINAL $120.00 $77.41 41 $3,136


Page 32 of 51




RateRate

Mode# Units

PaidTotal Paid*

Individual Therapy (45-50 min 90834 EAST CAROLINA UNIVERSITY TRILLIUM $217.00 $217.00 15 $2,258EASTER SEALS UCP NC & VA ALLIANCE $50.89 $50.89 17 $865EL FUTURO ALLIANCE $50.89 $50.89 52 $2,646FAMILY SERVICE OF THE PIEDMONT, INC SANDHILLS $59.90 $59.90 318 $19,048FAMILY WORKS PSYCHOLOGICAL CENTER EASTPOINTE $50.89 $50.89 17 $865FELLOWSHIP HEALTH RESOURCES INC ALLIANCE $50.89 $50.89 12 $611INSIGHT HUMAN SERVICES INC CARDINAL $50.89 $50.89 20 $1,018INTEGRATED FAMILY SERVICES PLLC TRILLIUM $125.00 $125.00 11 $1,375JOHNSTON CO HEALTH DEPT ALLIANCE $67.85 $67.85 13 $848MERIDIAN BEHAVIORAL HEALTH SERVICES VAYA $77.41 $77.41 13 $1,006MONARCH CARDINAL $70.00 $70.00 20 $1,400

PARTNERS $63.29 $63.29 71 $4,494NORTH CAROLINA RECOVERY SUPPORT SER ALLIANCE $50.89 $50.89 12 $611OUTREACH MANAGEMENT SERVICES PARTNERS $63.29 $63.29 23 $1,456PHOENIX COUNSELING CENTER PARTNERS $63.29 $63.29 35 $2,215PORT HUMAN SERVICES TRILLIUM $63.40 $50.89 106 $5,457PRIMARY HEALTH CHOICE, INC. EASTPOINTE $50.89 $50.89 19 $967RHA HEALTH SERVICES INC CARDINAL $91.07 $68.30 20 $1,389

VAYA $77.41 $77.41 31 $2,400SECURING RESOURCES FOR CONSUMERS IN ALLIANCE $50.89 $50.89 11 $560SUNPATH LLC PARTNERS $63.29 $63.29 87 $5,506TAR HEEL HUMAN SERVICES, INC. EASTPOINTE $50.89 $50.89 27 $1,374THE MENTAL HEALTH FUND INC PARTNERS $63.29 $63.29 90 $5,696TURNING POINT FAMILY CARE PLLC ALLIANCE $50.89 $50.89 14 $712VAYA HEALTH VAYA $77.41 $77.41 24 $1,858WAYNESBORO FAMILY CLINIC P.A. EASTPOINTE $50.89 $50.89 18 $916RHA BEHAVIORAL HEALTH NC LLC EASTPOINTE $50.89 $50.89 12 $611

SANDHILLS $59.90 $59.90 30 $1,788NCG ACQUISITION, LLC VAYA $77.41 $77.41 42 $3,220FREEDOM HOUSE RECOVERY CENTER INC CARDINAL $91.07 $68.30 17 $1,213TRI COUNTY COMMUNITY HEALTH COUNCIL EASTPOINTE $67.85 $67.85 12 $814

Page 33 of 51




RateRate

Mode# Units

PaidTotal Paid*

Individual Therapy (45-50 min 90834 COASTAL HORIZONS CENTER INC TRILLIUM $105.46 $105.46 106 $9,705Individual Therapy (60 min.) 90837 A CARING ALTERNATIVE LLC PARTNERS $94.75 $94.75 19 $1,800

A HELPING HAND OF WILMINGTON LLC TRILLIUM $74.57 $74.57 197 $14,690ACCESS FAMILY SERVICES INC TRILLIUM $99.49 $74.57 14 $1,169BRADFORD ASSOCIATES NC LLC SANDHILLS $87.77 $87.77 45 $3,868CAROLINA OUTREACH LLC ALLIANCE $74.57 $74.57 320 $23,862

CARDINAL $74.57 $74.57 18 $1,342EASTPOINTE $74.57 $74.57 49 $3,654

CLIENTFIRST OF NC LLC EASTPOINTE $74.57 $74.57 39 $2,908COASTAL SOUTHEASTERN UNITED CARE TRILLIUM $74.57 $74.57 16 $1,193COMMUNITY SUPPORT AGENCY LLC EASTPOINTE $74.57 $74.57 20 $1,491COTTAGE HEALTH CARE SERVICES INC ALLIANCE $74.57 $74.57 37 $2,752CUMBERLAND COUNTY HOSPITAL SYSTEM I ALLIANCE $74.57 $74.57 32 $2,386DAYMARK RECOVERY SERVICES INC CARDINAL $170.00 $95.00 198 $18,978

SANDHILLS $87.77 $87.77 83 $7,285VAYA $88.34 $88.34 33 $2,915

DREAM PROVIDER CARE SERVICES TRILLIUM $74.57 $74.57 60 $4,474EAST CAROLINA UNIVERSITY TRILLIUM $318.00 $109.36 18 $3,846EASTER SEALS UCP NC & VA ALLIANCE $74.57 $74.57 36 $2,685EASTER SEALS UCP NORTH CAROLINA EASTPOINTE $74.57 $74.57 28 $2,088EL FUTURO ALLIANCE $74.57 $74.57 114 $8,501

CARDINAL $150.00 $88.00 14 $1,511FAMILY FIRST COMMUNITY SERVICES LLC CARDINAL $94.04 $74.57 29 $2,113FAMILY FIRST SUPPORT CENTER INC EASTPOINTE $74.57 $74.57 62 $4,623FAMILY WORKS PSYCHOLOGICAL CENTER EASTPOINTE $74.57 $74.57 21 $1,566FELLOWSHIP HEALTH RESOURCES INC ALLIANCE $74.57 $74.57 63 $4,698FERNANDEZ COMMUNITY CENTER LLC ALLIANCE $74.57 $74.57 83 $6,189Greater Image Healthcare, Corp. ALLIANCE $74.57 $74.57 57 $4,222HOPE SERVICES LLC ALLIANCE $74.57 $74.57 61 $4,549INNERVISION INC CARDINAL $74.57 $74.57 18 $1,342INTEGRATED BEHAVIORAL HEALTHCARE SE ALLIANCE $74.57 $74.57 52 $3,878

Page 34 of 51




RateRate

Mode# Units

PaidTotal Paid*

Individual Therapy (60 min.) 90837 INTEGRATED FAMILY SERVICES PLLC TRILLIUM $125.00 $125.00 11 $1,325KV CONSULTANTS AND ASSOCIATES INC. ALLIANCE $74.57 $74.57 24 $1,790LE CHRIS COUNSELING SERVICES INC TRILLIUM $74.57 $70.99 22 $1,590MENTAL HEALTH ASSOCIATES OF THE TRI SANDHILLS $87.77 $87.77 36 $3,160MERIDIAN BEHAVIORAL HEALTH SERVICES VAYA $69.57 $69.57 22 $1,531MONARCH ALLIANCE $74.57 $74.57 191 $13,962

CARDINAL $120.00 $120.00 153 $18,360EASTPOINTE $74.57 $74.57 104 $7,755SANDHILLS $87.77 $87.77 71 $6,232

PEACE OF MIND INC SANDHILLS $87.77 $87.77 20 $1,755PHYSICIAN ALLIANCE FOR MENTAL HEALT TRILLIUM $74.57 $74.57 41 $3,057PORT HUMAN SERVICES TRILLIUM $92.90 $74.57 296 $22,348PREMIER BEHAVIORAL SERVICES INC EASTPOINTE $74.57 $74.57 103 $7,681PRIDE IN NORTH CAROLINA INC. ALLIANCE $74.57 $74.57 18 $1,342RESTORATION FAMILY SERVICERS INC ALLIANCE $74.57 $74.57 49 $3,654RHA HEALTH SERVICES INC CARDINAL $88.00 $88.00 24 $2,112

EASTPOINTE $74.57 $74.57 38 $2,834VAYA $69.57 $69.57 22 $1,531

SOUTHLIGHT HEALTHCARE ALLIANCE $74.57 $74.57 88 $6,562TRINITY BEHAVIORAL HEALTHCARE PC CARDINAL $88.00 $88.00 15 $1,250TURNING POINT FAMILY CARE PLLC ALLIANCE $74.57 $74.57 328 $24,459TURNING POINT HOMES INC CARDINAL $94.45 $84.00 15 $1,214VAYA HEALTH VAYA $69.57 $69.57 24 $1,670VISION BEHAVIORAL HEALTH SERVICES L CARDINAL $88.00 $88.00 50 $4,400WAYNESBORO FAMILY CLINIC P.A. EASTPOINTE $99.42 $74.57 145 $11,061RHA BEHAVIORAL HEALTH NC LLC EASTPOINTE $71.29 $71.29 27 $1,925

SANDHILLS $87.77 $87.77 26 $2,282TT&T SERVICES INC EASTPOINTE $99.42 $99.42 37 $3,281FREEDOM HOUSE RECOVERY CENTER INC ALLIANCE $74.57 $74.57 44 $3,281

CARDINAL $113.51 $88.00 116 $10,661YOUTH HAVEN SERVICES INC CARDINAL $74.57 $74.57 27 $1,949

Page 35 of 51




RateRate

Mode# Units

PaidTotal Paid*

Individual Therapy (60 min.) 90837 COASTAL HORIZONS CENTER INC TRILLIUM $165.00 $165.00 172 $24,944Initial Hospital Care High Seve 99223 NCG ACQUISITION, LLC VAYA $166.89 $166.89 14 $2,336Initial Hospital Care Mod Seve 99222 JOHNSTON CO HEALTH DEPT ALLIANCE $113.34 $113.34 26 $2,947Initial Inpatient Consultation 99252 JOHNSTON CO HEALTH DEPT ALLIANCE $63.25 $63.25 18 $1,139Intensive In-Home Services H2022 CAROLINA OUTREACH LLC ALLIANCE $239.66 $239.66 51 $12,223

EASTER SEALS UCP NC & VA ALLIANCE $239.66 $239.66 16 $3,835TRILLIUM $258.20 $258.20 17 $4,389

FAITH IN FAMILIES INC CARDINAL $258.20 $258.20 12 $3,098HOPE SERVICES LLC ALLIANCE $239.66 $239.66 18 $4,314PATHWAYS TO LIFE INC. ALLIANCE $239.66 $239.66 12 $2,876PRIDE IN NORTH CAROLINA INC. EASTPOINTE $239.66 $239.66 15 $3,595TURNING POINT FAMILY CARE PLLC ALLIANCE $239.66 $239.66 13 $3,116

Interactive Evaluation 90792 DAYMARK RECOVERY SERVICES INC CARDINAL $158.30 $158.30 96 $14,999SANDHILLS $123.09 $123.09 18 $2,160

MERIDIAN BEHAVIORAL HEALTH SERVICES VAYA $158.30 $158.30 19 $2,900PHYSICIAN ALLIANCE FOR MENTAL HEALT TRILLIUM $88.89 $88.89 11 $908RHA HEALTH SERVICES INC VAYA $158.30 $158.30 34 $5,382UNIVERSITY OF NORTH CAROLINA AT CHA ALLIANCE $104.58 $104.58 12 $1,239FREEDOM HOUSE RECOVERY CENTER INC ALLIANCE $104.58 $104.58 12 $1,255

CARDINAL $158.30 $158.30 19 $2,959Interactive Evaluation- Telem 90792 DAYMARK RECOVERY SERVICES INC CARDINAL $158.30 $158.30 19 $2,976

VAYA $158.30 $158.30 19 $3,008Interactive Evaluation with Co 90785 KV CONSULTANTS AND ASSOCIATES INC. ALLIANCE $2.97 $2.97 15 $45Long Term Vocation Support YA389 COMMUNITY PARTNERSHIPS INC. ALLIANCE $11.21 $11.21 68 $762

Community Workforce Solutions, Inc. ALLIANCE $11.21 $11.21 24 $269DURHAM EXCHANGE CLUB INDUSTRIES INC ALLIANCE $11.21 $11.21 69 $773EASTER SEALS UCP NC & VA ALLIANCE $11.21 $11.21 64 $717

TRILLIUM $11.21 $11.21 42 $471JOHNSTON COUNTY INDUSTRIES INC ALLIANCE $11.21 $11.21 40 $448

SANDHILLS $11.21 $11.21 36 $404LEE COUNTY INDUSTRIES INC SANDHILLS $11.21 $11.21 24 $269

Page 36 of 51




RateRate

Mode# Units

PaidTotal Paid*

Long Term Vocation Support YA389 LifeSpan, Inc. PARTNERS $11.21 $11.21 12 $135SANDHILLS $11.21 $11.21 78 $874

MONARCH CARDINAL $15.00 $11.21 39 $494SANDHILLS $11.21 $11.21 22 $247

NEUSE ENTERPRISES INC EASTPOINTE $11.21 $11.21 50 $561OE ENTERPRISES INC CARDINAL $11.21 $11.21 49 $549RANDOLPH VOCATIONAL WORKSHOP INC SANDHILLS $11.21 $11.21 26 $291THE ARC OF GREENSBORO INC SANDHILLS $11.21 $11.21 80 $897THE ENRICHMENT CTR AN AFFL CHPT CARDINAL $11.21 $11.21 30 $336TRANSYLVANIA VOCATIONAL SERVICES IN VAYA $11.21 $11.21 18 $202UNIVERSITY OF NORTH CAROLINA AT CHA ALLIANCE $11.21 $11.21 47 $527

CARDINAL $11.21 $11.21 72 $807SANDHILLS $11.21 $11.21 48 $538

Long Term Vocational Suppor YA383 WATAUGA OPPORTUNITIES INC VAYA $3.00 $3.00 13 $39Mental Health - Day Treatme H2012 PORT HUMAN SERVICES TRILLIUM $31.41 $31.41 80 $2,513Mental Health - Partial Hospit H0035 OUTREACH MANAGEMENT SERVICES PARTNERS $192.00 $192.00 85 $16,320

PHOENIX COUNSELING CENTER PARTNERS $192.00 $192.00 101 $19,392PSI NC INC HOLLY HILL HOSPITAL ALLIANCE $300.00 $300.00 77 $23,100KEYSTONE WSNC LLC CARDINAL $600.00 $600.00 77 $46,200

Mobile Crisis Management H2011 CRISYS LLC CARDINAL $34.37 $34.37 105 $3,609DAYMARK RECOVERY SERVICES INC CARDINAL $34.37 $34.37 95 $3,265

PARTNERS $56.00 $56.00 28 $1,568VAYA $33.68 $33.68 18 $606

EASTER SEALS UCP NORTH CAROLINA EASTPOINTE $33.68 $33.68 32 $1,078INTEGRATED FAMILY SERVICES PLLC TRILLIUM $91.00 $91.00 151 $13,741MONARCH EASTPOINTE $33.68 $33.68 26 $876PHOENIX COUNSELING CENTER PARTNERS $56.00 $56.00 127 $7,073RHA HEALTH SERVICES INC VAYA $33.46 $33.46 185 $6,190

TRILLIUM $91.00 $91.00 131 $11,921THE MENTAL HEALTH FUND INC PARTNERS $56.00 $56.00 42 $1,928VAYA HEALTH VAYA $33.68 $33.68 161 $5,422

Page 37 of 51




RateRate

Mode# Units

PaidTotal Paid*

Mobile Crisis Management H2011 FREEDOM HOUSE RECOVERY CENTER INC CARDINAL $34.37 $34.37 18 $619THERAPEUTIC ALTERNATIVES INC ALLIANCE $33.68 $33.68 25 $842

SANDHILLS $33.68 $33.68 22 $741Multi-Systemic Therapy H2033 EASTER SEALS UCP NC & VA ALLIANCE $36.57 $36.57 68 $2,487

EASTER SEALS UCP NORTH CAROLINA EASTPOINTE $36.57 $36.57 22 $805HAIRE ENTERPRISES INC ALLIANCE $36.57 $36.57 70 $2,560HAVEN HOUSE SERVICES ALLIANCE $36.57 $36.57 21 $768YOUTH VILLAGES INC. SANDHILLS $43.88 $43.88 17 $746

Non-Hospital Medical Detox H0010 ADDICTION RECOVERY CARE ASSOCIATION CARDINAL $325.58 $325.58 33 $10,744CUMBERLAND COUNTY HOSPITAL SYSTEM I ALLIANCE $325.58 $325.58 189 $61,269MONARCH EASTPOINTE $325.58 $325.58 31 $10,093RESIDENTIAL TREATMENT SERVICES CARDINAL $325.58 $325.58 49 $15,953UNIVERSITY OF NC HOSPITALS AT CHAPE ALLIANCE $325.58 $325.58 335 $97,515

Opioid Treatment H0020 ALCOHOL AND DRUG SERVICES EAST SANDHILLS $18.76 $18.76 2161 $40,540BAART COMMUNITY HEALTHCARE ALLIANCE $16.60 $16.60 2322 $38,545

CARDINAL $20.00 $20.00 35 $700INSIGHT HUMAN SERVICES INC CARDINAL $16.60 $16.60 4314 $71,612MCLEOD ADDICTIVE DISEASE CENTER INC CARDINAL $16.60 $16.60 2592 $43,027

VAYA $16.60 $16.60 1950 $32,370PORT HUMAN SERVICES TRILLIUM $23.60 $16.60 3226 $56,807SOUTHLIGHT HEALTHCARE ALLIANCE $16.60 $16.60 1256 $20,850BOBBY P KEARNEY MD PLLC CARDINAL $25.00 $16.60 21 $374

PARTNERS $16.49 $16.49 224 $3,694VAYA $16.60 $16.60 397 $6,590

CROSSROADS TREATMENT CENTERS VAYA $16.60 $16.60 1820 $30,212MORSE CLINIC OF ZEBULON ALLIANCE $16.60 $16.60 597 $9,910CHATHAM RECOVERY, LLC CARDINAL $19.17 $19.17 92 $1,764MORSE CLINIC OF NORTH RALEIGH ALLIANCE $16.60 $16.60 323 $5,362JOHNSTON RECOVERY SERVICES ALLIANCE $16.60 $16.60 327 $5,428ATS OF NORTH CAROLINA, INC. ALLIANCE $16.60 $16.60 678 $11,255

VAYA $16.60 $16.60 363 $6,026Page 38 of 51




RateRate

Mode# Units

PaidTotal Paid*

Opioid Treatment H0020 COASTAL HORIZONS CENTER INC TRILLIUM $16.60 $16.60 3275 $54,365BHG XXXVI LLC VAYA $16.60 $16.60 342 $5,677

Outpatient DBT (Group) YA386 CAROLINA OUTREACH LLC ALLIANCE $62.68 $62.68 103 $6,456MONARCH ALLIANCE $62.68 $62.68 15 $940SOUTHLIGHT HEALTHCARE ALLIANCE $62.68 $62.68 16 $1,003TURNING POINT FAMILY CARE PLLC ALLIANCE $62.68 $62.68 80 $5,014

Outpatient DBT (Individual) YA387 CAROLINA OUTREACH LLC ALLIANCE $110.96 $110.96 166 $18,419MONARCH ALLIANCE $110.96 $110.96 27 $2,996PORT HUMAN SERVICES TRILLIUM $142.08 $142.08 13 $1,847SOUTHLIGHT HEALTHCARE ALLIANCE $110.96 $110.96 19 $2,108TURNING POINT FAMILY CARE PLLC ALLIANCE $110.96 $110.96 130 $14,425

Peer support YA308 CARAMORE CARDINAL $8.14 $8.14 97 $790CENTRAL COMMUNITY SERVICES LLC CARDINAL $12.00 $8.14 119 $979DAYMARK RECOVERY SERVICES INC VAYA $8.14 $8.14 12 $98FAMILY PRESERVATION SERVICES OF NC VAYA $8.14 $8.14 270 $2,198INNERVISION INC CARDINAL $12.00 $12.00 114 $1,368MONARCH SANDHILLS $8.14 $8.14 15 $122NEW DIMENSION GROUP LLC EASTPOINTE $8.14 $8.14 63 $513RHA HEALTH SERVICES INC CARDINAL $12.00 $12.00 543 $6,165

VAYA $12.00 $12.00 251 $3,012VAYA HEALTH VAYA $12.00 $12.00 14 $168RHA BEHAVIORAL HEALTH NC LLC SANDHILLS $8.14 $8.14 110 $895FREEDOM HOUSE RECOVERY CENTER INC CARDINAL $12.00 $12.00 37 $444

Peer support group B3 YA309 DAYMARK RECOVERY SERVICES INC VAYA $2.71 $2.71 14 $38RHA HEALTH SERVICES INC CARDINAL $2.71 $2.71 20 $54

VAYA $2.71 $2.71 103 $279VAYA HEALTH VAYA $2.71 $2.71 16 $43RHA BEHAVIORAL HEALTH NC LLC SANDHILLS $2.71 $2.71 66 $179

Peer Support Hospital Discha YA343 A CARING ALTERNATIVE LLC PARTNERS $10.14 $10.14 259 $2,626PARTNERS BEHAVIORAL HEALTH MANAG PARTNERS $10.14 $10.14 59 $598PHOENIX COUNSELING CENTER PARTNERS $10.14 $10.14 120 $1,217

Page 39 of 51




RateRate

Mode# Units

PaidTotal Paid*

Peer Support Hospital Discha YA343 THERAPEUTIC ALTERNATIVES INC ALLIANCE $10.14 $10.14 58 $588SANDHILLS $10.14 $10.14 138 $1,399

Personal Asst - Indiv YP020 A SMALL MIRACLE INC ALLIANCE $4.46 $4.46 76 $339EASTPOINTE $4.46 $4.46 61 $272

ABILITIES INC. EASTPOINTE $4.46 $4.46 65 $290ACHIEVE CASE MANAGEMENT SERVICES IN PARTNERS $4.46 $4.46 117 $522ACI SUPPORT SPECIALISTS INC ALLIANCE $4.46 $4.46 190 $847

TRILLIUM $4.46 $4.46 127 $566Adult Day and Respite Care Center SANDHILLS $4.46 $4.46 54 $239ADVANTAGE BEHAVIORAL HEALTHCARE INC EASTPOINTE $4.46 $4.46 62 $277ALPHA MANAGEMENT SERVICES INC. ALLIANCE $4.46 $4.46 107 $477ARC OF THE TRIANGLE INC CARDINAL $4.46 $4.46 122 $544AUTISM SOCIETY OF NORTH CAROLINA ALLIANCE $4.46 $4.46 42 $187

SANDHILLS $4.46 $4.46 23 $103VAYA $4.46 $4.46 248 $1,106TRILLIUM $4.46 $4.46 20 $89

AUTUMN HALLS OF UNAKA #2 VAYA $4.46 $4.46 132 $589BENJAMIN HOUSE CASE MANAGEMENT TRILLIUM $17.84 $4.46 80 $389BETTER CONNECTIONS INC CARDINAL $4.46 $4.46 16 $71CARING HANDS AND SUPPLEMENTARY ENRI ALLIANCE $4.46 $4.46 100 $446COMMUNITY INNOVATIONS INC EASTPOINTE $4.46 $4.46 26 $116COMMUNITY SUPPORT SERVICE LLC SANDHILLS $4.46 $4.46 37 $164COMSERV INC PARTNERS $4.46 $4.46 50 $223CROSSROADS SUPPORT SERVICES INC EASTPOINTE $4.46 $4.46 43 $192DAVIDSON HOMES INC VAYA $4.46 $4.46 23 $103DURHAM COUNTY COMMUNITY LIVING PROG ALLIANCE $4.46 $4.46 197 $879EASTER SEALS UCP NC & VA ALLIANCE $4.46 $4.46 165 $736

CARDINAL $4.46 $4.46 361 $1,610SANDHILLS $4.46 $4.46 221 $986VAYA $4.46 $4.46 162 $723TRILLIUM $4.46 $4.46 60 $268

Page 40 of 51




RateRate

Mode# Units

PaidTotal Paid*

Personal Asst - Indiv YP020 EDUCARE COMMUNITY LIVING CORP NC EASTPOINTE $4.46 $4.46 22 $98ELITE CARE SERVICES, INC CARDINAL $4.46 $4.46 48 $214FAMILIES FIRST OF NC, LLC VAYA $4.46 $4.46 44 $196FOSTERS CARE FACILITY LLC SANDHILLS $4.46 $4.46 13 $58GROUP HOMES OF FORSYTH CARDINAL $4.46 $4.46 43 $192HAYWOOD COUNTY GROUP HOME VAYA $4.46 $4.46 142 $633HOMECARE MANAGEMENT CORPORATION EASTPOINTE $4.46 $4.46 96 $428

PARTNERS $4.46 $4.46 39 $174VAYA $4.46 $4.46 76 $339TRILLIUM $4.46 $4.46 57 $254

HUMAN RESOURCES UNLIMITED INC TRILLIUM $4.46 $4.46 14 $62L&J HOMES INC CARDINAL $3.43 $3.43 16 $55LIBERTY CORNER ENTERPRISES INC. VAYA $4.46 $4.46 69 $308LifeSpan, Inc. VAYA $4.46 $4.46 108 $482LUTHERAN FAMILY SERVICES IN THE CAR CARDINAL $4.46 $4.46 42 $187MAXIM HEALTHCARE SERVICES ALLIANCE $4.46 $4.46 62 $277

CARDINAL $4.46 $4.46 46 $205VAYA $4.46 $4.46 90 $401

MILLING MANOR INC CARDINAL $4.41 $4.41 13 $57MONARCH CARDINAL $5.00 $4.46 88 $410

SANDHILLS $4.46 $4.46 86 $384MOUNTAIN AREA COMMUNITY SERVICES IN VAYA $4.46 $4.46 39 $174ONE-ON-ONE CARE INC PARTNERS $4.46 $4.46 32 $143PATHWAYS FOR PEOPLE INC. CARDINAL $4.46 $4.46 14 $62PERSON COUNTY GROUP HOMES INC CARDINAL $4.46 $4.46 49 $219PRIMARY HEALTH CHOICE, INC. EASTPOINTE $4.46 $4.46 15 $67RALPH SCOTT LIFESERVICES INC CARDINAL $4.46 $4.46 58 $259RESIDENTIAL SERVICES INC CARDINAL $4.46 $4.46 17 $76RESIDENTIAL SUPPORT SERVICES OF WAK ALLIANCE $4.46 $4.46 18 $80RHA HEALTH SERVICES NC LLC ALLIANCE $4.46 $4.46 22 $98RIVERBEND SERVICES INC EASTPOINTE $4.46 $4.46 111 $495

Page 41 of 51




RateRate

Mode# Units

PaidTotal Paid*

Personal Asst - Indiv YP020 SECURING RESOURCES FOR CONSUMERS IN ALLIANCE $4.46 $4.46 169 $754SERVANTS HEART SANDHILLS $4.46 $4.46 49 $219SKILL CREATIONS INC. PARTNERS $4.46 $4.46 76 $339

VAYA $4.46 $4.46 71 $317SPECIALIZED SERVICES AND PERSONNEL ALLIANCE $4.46 $4.46 29 $129SUMMIT SUPPORT SERVICES OF ASHE INC VAYA $4.46 $4.46 249 $1,111THE ARC OF NORTH CAROLINA INC VAYA $4.46 $4.46 124 $553THE ENRICHMENT CTR AN AFFL CHPT CARDINAL $4.46 $4.46 13 $58TRANSYLVANIA VOCATIONAL SERVICES IN VAYA $4.46 $4.46 54 $241TRIAD ADULT DAY CARE CENTER INC SANDHILLS $4.46 $4.46 21 $94TURNING POINT SERVICES ALLIANCE $4.46 $4.46 122 $544

PARTNERS $4.46 $4.46 30 $134VAYA $4.46 $4.46 434 $1,936

Universal Mental Health Services, I ALLIANCE $4.46 $4.46 218 $972EASTPOINTE $4.46 $4.46 26 $116VAYA $4.46 $4.46 152 $678

VAYA HEALTH VAYA $4.46 $4.46 85 $379VIRPARK INC RESIDENTIAL FACILITY SANDHILLS $4.46 $4.46 13 $58VOCA CORPORATION OF NORTH CAROLINA PARTNERS $4.46 $4.46 33 $147

VAYA $4.46 $4.46 61 $272QUALITY CARE III LLC SANDHILLS $4.46 $4.46 30 $134VICTOR & ASSOCIATES INC SANDHILLS $4.46 $4.46 33 $147AUTISM SERVICES INCORPORATED ALLIANCE $4.46 $4.46 40 $178CNC ACCESS INC ALLIANCE $4.46 $4.46 232 $1,035

CARDINAL $5.00 $4.46 186 $830EASTPOINTE $4.46 $4.46 48 $214VAYA $4.46 $4.46 12 $54TRILLIUM $4.74 $4.46 33 $147

Psychosocial Rehab Services H2017 ADVANTAGE BEHAVIORAL HEALTHCARE INC EASTPOINTE $2.69 $2.69 19 $51CAROLINA CENTER FOR COUNSELING AND PARTNERS $3.75 $3.75 19 $71CAROLINA RESIDENTIAL SERVICES INC. EASTPOINTE $2.69 $2.69 17 $46

Page 42 of 51




RateRate

Mode# Units

PaidTotal Paid*

Psychosocial Rehab Services H2017 CAROLINA RESIDENTIAL SERVICES INC. PARTNERS $3.75 $3.75 20 $75VAYA $2.69 $2.69 81 $218

CENTRAL COMMUNITY SERVICES LLC CARDINAL $2.69 $2.69 13 $35CLEVELAND PSYCHOSOCIAL SERVICES INC PARTNERS $3.75 $3.75 146 $548CLUB NOVA COMMUNITY INC CARDINAL $3.34 $3.34 138 $461DAYMARK RECOVERY SERVICES INC VAYA $2.69 $2.69 48 $129EASTER SEALS UCP NC & VA CARDINAL $2.69 $2.69 13 $35FAMILY PRESERVATION SERVICES OF NC VAYA $2.69 $2.69 115 $309FELLOWSHIP HEALTH RESOURCES INC ALLIANCE $2.69 $2.69 153 $412INNERVISION INC CARDINAL $2.69 $2.69 284 $764JOHNSTON COUNTY INDUSTRIES INC ALLIANCE $2.69 $2.69 28 $75LECHRIS ADULT DAY CARE OF ROCKY MOU EASTPOINTE $2.69 $2.69 69 $186

TRILLIUM $2.69 $2.69 19 $51MENTAL HEALTH ASSOCIATES OF THE TRI SANDHILLS $2.91 $2.91 28 $81MERIDIAN BEHAVIORAL HEALTH SERVICES VAYA $2.69 $2.69 33 $89MONARCH ALLIANCE $2.69 $2.69 75 $202NEW DIMENSION GROUP LLC EASTPOINTE $2.69 $2.69 47 $126PERSON CENTERED PARTNERSHIPS INC. CARDINAL $2.69 $2.69 29 $78PQA HEALTHCARE INC PARTNERS $3.75 $3.75 14 $53PREFERRED CARE INC SANDHILLS $2.91 $2.91 15 $44PSYCHOTHERAPEUTIC SERVICES INC CARDINAL $2.69 $2.69 88 $237RHA HEALTH SERVICES INC CARDINAL $3.01 $3.01 205 $617

EASTPOINTE $2.69 $2.69 202 $543SIXTH AVENUE PSYCHIATRIC REHABILITA VAYA $2.69 $2.69 81 $218SOUTHEASTERN HEALTHCARE OF NC INC ALLIANCE $2.69 $2.69 141 $379THE MENTAL HEALTH FUND INC PARTNERS $3.75 $3.75 103 $386THRESHOLD INC ALLIANCE $2.69 $2.69 95 $256Universal Mental Health Services, I VAYA $2.69 $2.69 17 $46THERAPEUTIC ALTERNATIVES INC CARDINAL $3.03 $3.03 55 $167

Public Psychiatry - Administra YP851 DAYMARK RECOVERY SERVICES INC PARTNERS $25.00 $25.00 19 $475VAYA $25.00 $25.00 18 $450

Page 43 of 51




RateRate

Mode# Units

PaidTotal Paid*

Public Psychiatry - Administra YP851 INTEGRATED FAMILY SERVICES PLLC TRILLIUM $25.00 $25.00 22 $550PORT HUMAN SERVICES TRILLIUM $37.50 $25.00 52 $1,450THE MENTAL HEALTH FUND INC PARTNERS $25.00 $25.00 19 $475

Public Psychiatry - Consultatio YP852 DAYMARK RECOVERY SERVICES INC PARTNERS $35.00 $35.00 19 $665VAYA $35.00 $35.00 18 $630

EAST CAROLINA UNIVERSITY TRILLIUM $35.00 $35.00 15 $525PORT HUMAN SERVICES TRILLIUM $37.50 $35.00 42 $1,498THE MENTAL HEALTH FUND INC PARTNERS $35.00 $35.00 19 $665

Recovery Education Center (R YA367 MERIDIAN BEHAVIORAL HEALTH SERVICES VAYA $2.22 $2.22 681 $1,512Recovery Education Center (R YA366 MERIDIAN BEHAVIORAL HEALTH SERVICES VAYA $6.00 $6.00 147 $882SA Comprehensive Outpatien H2035 ANUVIA PREVENTION AND RECOVERY CENT CARDINAL $45.35 $45.35 83 $3,637

COASTAL SOUTHEASTERN UNITED CARE TRILLIUM $45.35 $45.35 13 $590INSIGHT HUMAN SERVICES INC CARDINAL $45.35 $45.35 47 $2,131

VAYA $45.35 $45.35 31 $1,406PHOENIX COUNSELING CENTER PARTNERS $45.35 $45.35 384 $17,414PORT HUMAN SERVICES EASTPOINTE $45.35 $45.35 53 $2,404

TRILLIUM $45.35 $45.35 165 $7,483STARTING POINTE INC EASTPOINTE $45.35 $45.35 61 $2,766

TRILLIUM $45.35 $45.35 53 $2,404SUNPATH LLC PARTNERS $45.35 $45.35 25 $1,134THE COGNITIVE CONNECTION PARTNERS $45.35 $45.35 161 $7,301VISIONS COUNSELING STUDIO PLLC ALLIANCE $45.35 $45.35 79 $3,583WB HEALTH CARE EASTPOINTE $45.35 $45.35 109 $4,943RHA BEHAVIORAL HEALTH NC LLC EASTPOINTE $45.35 $45.35 87 $3,945TRI COUNTY COMMUNITY HEALTH COUNCIL EASTPOINTE $45.35 $45.35 158 $7,165

SA Halfway House H2034 ALLIANCE REHABILITATIVE CARE INC CARDINAL $74.90 $74.90 399 $29,885RECOVERY CONNECTIONS OF DURHAM ALLIANCE $61.20 $61.20 161 $9,853FREEDOM HOUSE RECOVERY CENTER INC ALLIANCE $89.62 $89.62 488 $43,735

SA Intensive Outpatient Progr H0015 A HELPING HAND OF WILMINGTON LLC TRILLIUM $131.56 $131.56 348 $45,783ALCOHOL AND DRUG SERVICES EAST SANDHILLS $131.56 $131.56 367 $48,283ALLIANCE REHABILITATIVE CARE INC CARDINAL $131.56 $131.56 78 $10,262

Page 44 of 51




RateRate

Mode# Units

PaidTotal Paid*

SA Intensive Outpatient Progr H0015 ANUVIA PREVENTION AND RECOVERY CENT CARDINAL $131.56 $131.56 426 $55,203CARING SERVICES INC SANDHILLS $131.56 $131.56 103 $13,551CAROLINA OUTREACH LLC ALLIANCE $131.56 $131.56 338 $44,467

EASTPOINTE $131.56 $131.56 105 $13,814CARTERET COUNSELING SERVICES INC TRILLIUM $131.56 $131.56 155 $20,392COASTAL SOUTHEASTERN UNITED CARE TRILLIUM $131.56 $131.56 57 $7,499COMMUNITY ALTERNATIVES INCORPORATED CARDINAL $131.56 $131.56 13 $1,698DAYMARK RECOVERY SERVICES INC CARDINAL $148.52 $148.52 123 $18,268

PARTNERS $131.56 $131.56 261 $34,337VAYA $148.52 $148.52 120 $17,822

DREAM PROVIDER CARE SERVICES TRILLIUM $131.56 $131.56 70 $9,209FAMILY FIRST SUPPORT CENTER INC EASTPOINTE $131.56 $131.56 43 $5,657FAMILY PRESERVATION SERVICES OF NC VAYA $148.52 $148.52 165 $24,506FELLOWSHIP HEALTH RESOURCES INC ALLIANCE $131.56 $131.56 116 $15,261GENERATIONS HEALTH SERVICES LLC EASTPOINTE $131.56 $131.56 87 $11,446INSIGHT HUMAN SERVICES INC CARDINAL $131.56 $131.56 222 $28,746MCLEOD ADDICTIVE DISEASE CENTER INC CARDINAL $131.56 $131.56 473 $62,228MECKLENBURG COUNTY CARDINAL $131.56 $131.56 70 $9,209MERIDIAN BEHAVIORAL HEALTH SERVICES VAYA $148.52 $148.52 90 $13,367NORTH CAROLINA RECOVERY SUPPORT SER ALLIANCE $131.56 $131.56 266 $34,995OCTOBER ROAD INC VAYA $131.56 $131.56 167 $21,971PERSON CENTERED PARTNERSHIPS INC. CARDINAL $131.56 $131.56 73 $9,604PHOENIX COUNSELING CENTER PARTNERS $131.56 $131.56 418 $54,992PORT HUMAN SERVICES EASTPOINTE $131.56 $131.56 156 $20,523

TRILLIUM $131.56 $131.56 1575 $207,207RESTORATION FAMILY SERVICERS INC ALLIANCE $131.56 $131.56 46 $6,052RHA HEALTH SERVICES INC CARDINAL $148.52 $148.52 79 $11,733

VAYA $148.52 $148.52 437 $64,903TRILLIUM $131.56 $131.56 65 $8,551

SOUTHLIGHT HEALTHCARE ALLIANCE $131.56 $131.56 564 $74,200STARTING POINTE INC EASTPOINTE $131.56 $131.56 37 $4,868

Page 45 of 51




RateRate

Mode# Units

PaidTotal Paid*

SA Intensive Outpatient Progr H0015 STARTING POINTE INC TRILLIUM $131.56 $131.56 40 $5,262SUNPATH LLC PARTNERS $131.56 $131.56 86 $11,314THE COGNITIVE CONNECTION PARTNERS $131.56 $131.56 242 $31,814TRINITY BEHAVIORAL HEALTHCARE PC CARDINAL $148.52 $148.52 93 $13,812VAYA HEALTH VAYA $148.52 $148.52 173 $25,694WAYNESBORO FAMILY CLINIC P.A. EASTPOINTE $131.56 $131.56 100 $13,156RHA BEHAVIORAL HEALTH NC LLC EASTPOINTE $131.56 $131.56 101 $13,288FREEDOM HOUSE RECOVERY CENTER INC ALLIANCE $131.56 $131.56 204 $26,838

CARDINAL $148.52 $148.52 162 $24,060TRI COUNTY COMMUNITY HEALTH COUNCIL EASTPOINTE $131.56 $131.56 40 $5,262COASTAL HORIZONS CENTER INC TRILLIUM $131.56 $131.56 707 $93,013

Senior IDD-My Turn YA391 THE ENRICHMENT CTR AN AFFL CHPT CARDINAL $60.00 $60.00 80 $4,800Subsequent Hospital Care per 99232 JOHNSTON CO HEALTH DEPT ALLIANCE $61.81 $61.81 77 $4,759Supervised Living - 1 Resident YM811 HERBERT REID HOME EASTPOINTE $153.15 $139.71 60 $8,786

HOMECARE MANAGEMENT CORPORATION PARTNERS $274.92 $168.98 60 $13,317LUTHERAN FAMILY SERVICES IN THE CAR CARDINAL $116.15 $116.15 99 $11,499ONE-ON-ONE CARE INC PARTNERS $150.00 $150.00 30 $4,500RESOURCES FOR HUMAN DEVELOPMENT INC ALLIANCE $380.00 $380.00 26 $9,880THERAPEUTIC SERVICES GROUP CARDINAL $305.00 $305.00 87 $26,535Universal Mental Health Services, I ALLIANCE $114.84 $114.84 26 $2,986

Supervised Living - 2 Resident YM812 BETTER CONNECTIONS INC CARDINAL $116.15 $116.15 16 $1,858COMMUNITY SUPPORT SERVICE LLC SANDHILLS $161.99 $161.99 60 $9,719COZIE'S SUPERVISED LIVING SANDHILLS $161.99 $161.99 30 $4,860JONES HEALTH SERVICES INC CARDINAL $161.99 $161.99 28 $4,536L&J HOMES INC CARDINAL $116.72 $116.72 29 $3,385LIBERTY CORNER ENTERPRISES INC. VAYA $161.99 $161.99 60 $9,719MONARCH CARDINAL $270.00 $200.00 57 $13,290PROFESSIONAL FAMILY CARE SERVICES I SANDHILLS $161.99 $161.99 30 $4,860QUALITY LIFE SERVICES INC SANDHILLS $161.99 $161.99 120 $19,439RESOURCES FOR HUMAN DEVELOPMENT INC ALLIANCE $161.99 $161.99 116 $18,791SECURING RESOURCES FOR CONSUMERS IN ALLIANCE $145.79 $145.79 90 $13,121

Page 46 of 51




RateRate

Mode# Units

PaidTotal Paid*

Supervised Living - 2 Resident YM812 SERENITY THERAPEUTIC SERVICES INC ALLIANCE $161.99 $161.99 60 $9,719SERVANTS HEART SANDHILLS $161.99 $161.99 30 $4,860SPECIALIZED SERVICES AND PERSONNEL SANDHILLS $161.99 $161.99 30 $4,860TLC ADULT GROUP HOME SANDHILLS $161.99 $161.91 26 $4,211TRIAD ADULT DAY CARE CENTER INC SANDHILLS $161.99 $161.99 30 $4,860VIRPARK INC RESIDENTIAL FACILITY SANDHILLS $161.99 $161.99 56 $9,071QUALITY CARE III LLC SANDHILLS $161.99 $161.99 30 $4,860VICTOR & ASSOCIATES INC SANDHILLS $161.99 $161.99 52 $8,423COMMUNITY ALTERNATIVE HOUSING INC SANDHILLS $161.99 $161.99 28 $4,536

Supervised Living - 3 Resident YM813 GENESIS RESISDENTIAL CARE CARDINAL $116.15 $116.15 30 $3,485KD SUPPORT SERVICES VAYA $116.15 $116.15 83 $9,640LIBERTY CORNER ENTERPRISES INC. VAYA $116.15 $116.15 60 $6,969MCDANIEL HOME CARDINAL $116.15 $116.15 28 $3,252MCDANIEL HOMES, LLC CARDINAL $116.15 $116.15 28 $3,252MULTI THERAPEUTIC SERVICES INC SANDHILLS $116.15 $116.15 30 $3,485ONE-ON-ONE CARE INC PARTNERS $116.15 $116.15 30 $3,485PROFESSIONAL FAMILY CARE SERVICES I SANDHILLS $116.15 $116.15 90 $10,454QUALITY LIFE SERVICES INC SANDHILLS $116.15 $116.15 60 $6,969RESOURCES FOR HUMAN DEVELOPMENT INC ALLIANCE $116.15 $116.15 29 $3,368RHA HEALTH SERVICES INC VAYA $116.15 $116.15 30 $3,485RHA HEALTH SERVICES NC LLC ALLIANCE $98.79 $98.79 30 $2,964

PARTNERS $116.15 $116.15 27 $3,136VAYA $116.15 $116.15 30 $3,485

SYLVANGLADE SERVICES INC SANDHILLS $116.15 $116.15 30 $3,485VOCA CORPORATION OF NORTH CAROLINA PARTNERS $116.15 $116.15 60 $6,969WESCARE PROFESSIONAL SERVICES LLC CARDINAL $116.15 $116.15 52 $6,040

SANDHILLS $116.15 $116.15 30 $3,485Supervised Living - 4 Resident YM814 DIVINE KONCEPTS INC SANDHILLS $93.17 $93.17 26 $2,422

HIGHER HORIZONSINC SANDHILLS $93.17 $93.17 90 $8,385MERCY HOME SERVICES INC SANDHILLS $93.17 $93.17 30 $2,795RHA HEALTH SERVICES INC VAYA $93.17 $93.17 28 $2,609

Page 47 of 51




RateRate

Mode# Units

PaidTotal Paid*

Supervised Living - 4 Resident YM814 UNITED DAY SUPPORT SERVICES SANDHILLS $93.17 $93.17 58 $5,404Supervised Living - 5 Resident YM815 D D RESIDENTIAL SERVICES INC CARDINAL $77.67 $77.67 16 $1,243Supervised Living - 6 Resident YM816 KD SUPPORT SERVICES VAYA $68.83 $68.83 60 $4,130Supervised Living - Low YP710 CARAMORE CARDINAL $28.92 $28.92 20 $578

CARING SERVICES INC SANDHILLS $28.92 $28.92 166 $4,801CLEVELAND PSYCHOSOCIAL SERVICES INC PARTNERS $28.92 $28.92 226 $6,536EASTER SEALS UCP NC & VA CARDINAL $28.92 $28.92 1925 $46,112

EASTPOINTE $28.92 $28.92 871 $25,189PARTNERS $28.92 $28.92 299 $8,647SANDHILLS $28.92 $28.92 600 $17,352VAYA $28.92 $28.92 238 $6,883

FAMILY PRESERVATION SERVICES OF NC VAYA $28.92 $28.92 593 $17,150GASTON RESIDENTIAL SERVICESINC PARTNERS $28.92 $28.92 300 $8,676INREACH CARDINAL $28.92 $28.92 79 $2,285MILLING MANOR INC CARDINAL $28.92 $28.92 15 $434MONARCH ALLIANCE $17.68 $17.68 240 $4,243

CARDINAL $28.92 $28.92 870 $23,762EASTPOINTE $28.92 $28.92 210 $6,073PARTNERS $28.92 $28.92 60 $1,735SANDHILLS $28.92 $28.92 1110 $32,101TRILLIUM $28.92 $28.92 510 $14,749

MOUNTAIN AREA RESIDENTIAL FACILITIE VAYA $28.92 $28.92 60 $1,735NEW DESTINATIONS INC ALLIANCE $25.12 $25.12 389 $9,772

PARTNERS $28.92 $28.92 273 $7,895PARTNERS BEHAVIORAL HEALTH MANAG PARTNERS $28.92 $28.92 621 $17,959PERSON COUNTY GROUP HOMES INC CARDINAL $28.92 $28.92 46 $1,330RALPH SCOTT LIFESERVICES INC CARDINAL $28.92 $28.92 28 $810RESIDENTIAL SUPPORT SERVICES OF WAK ALLIANCE $28.92 $28.92 1587 $45,896SUMMIT SUPPORT SERVICES OF ASHE INC VAYA $23.00 $23.00 30 $690TRANSYLVANIA ASSOCIATION FOR DISABL VAYA $28.92 $28.92 60 $1,735TURNING POINT SERVICES VAYA $23.00 $23.00 180 $4,140

Page 48 of 51




RateRate

Mode# Units

PaidTotal Paid*

Supervised Living - Low YP710 THERAPEUTIC ALTERNATIVES INC SANDHILLS $28.92 $28.92 270 $7,808Supervised Living - Mod. YP720 GASTON RESIDENTIAL SERVICESINC PARTNERS $55.11 $55.11 270 $14,880

HAYWOOD COUNTY GROUP HOME VAYA $29.00 $29.00 158 $4,582HOMECARE MANAGEMENT CORPORATION PARTNERS $55.11 $55.11 14 $772INREACH CARDINAL $55.11 $55.11 1075 $59,243MILLING MANOR INC CARDINAL $55.11 $55.11 113 $6,227MONARCH CARDINAL $55.11 $55.11 2131 $117,208

VAYA $55.11 $55.11 243 $13,392ONE-ON-ONE CARE INC PARTNERS $55.11 $55.11 30 $1,653PORT HUMAN SERVICES TRILLIUM $55.11 $37.36 360 $14,568RALPH SCOTT LIFESERVICES INC CARDINAL $55.11 $55.11 174 $9,545RESOURCES FOR HUMAN DEVELOPMENT INC ALLIANCE $180.23 $180.23 167 $30,098SKILL CREATIONS INC. PARTNERS $55.11 $55.11 30 $1,653SOUTHLIGHT HEALTHCARE ALLIANCE $55.11 $55.11 209 $11,518FREEDOM HOUSE RECOVERY CENTER INC CARDINAL $75.48 $75.48 771 $58,195

Supported Emp - Group YP640 COASTAL ENTERPRISES OF WILMINGTON TRILLIUM $2.53 $2.53 17 $43Community Workforce Solutions, Inc. CARDINAL $2.53 $2.53 17 $43

Supported Employment Indiv YA390 ACHIEVE CASE MANAGEMENT SERVICES IN PARTNERS $11.21 $11.21 28 $314COMSERV INC PARTNERS $11.21 $11.21 12 $135EASTER SEALS UCP NC & VA CARDINAL $11.21 $11.21 36 $404HOMECARE MANAGEMENT CORPORATION PARTNERS $11.21 $11.21 31 $348MONARCH CARDINAL $15.00 $11.21 17 $210RHA HEALTH SERVICES NC LLC ALLIANCE $11.21 $11.21 17 $191TURNING POINT SERVICES PARTNERS $11.21 $11.21 30 $336Universal Mental Health Services, I VAYA $11.21 $11.21 16 $179VOCA CORPORATION OF NORTH CAROLINA PARTNERS $11.21 $11.21 17 $191

Telehealth originating site fac Q3014 DAYMARK RECOVERY SERVICES INC CARDINAL $25.00 $25.00 116 $2,709PARTNERS $20.83 $20.83 62 $1,291SANDHILLS $22.74 $22.74 117 $2,661

NCG ACQUISITION, LLC VAYA $21.25 $21.25 104 $2,210Therapeutic, prophylactic, or 96372 MONARCH CARDINAL $30.00 $30.00 36 $1,015

Page 49 of 51




RateRate

Mode# Units

PaidTotal Paid*

Therapeutic, prophylactic, or 96372 MONARCH PARTNERS $16.53 $14.19 15 $227SANDHILLS $15.61 $15.61 15 $234

PHYSICIAN ALLIANCE FOR MENTAL HEALT TRILLIUM $17.04 $17.04 11 $187PORT HUMAN SERVICES TRILLIUM $32.80 $32.80 30 $881THE MENTAL HEALTH FUND INC PARTNERS $16.53 $16.53 30 $470

Transition Management Servi YM120 A CARING ALTERNATIVE LLC PARTNERS $13.92 $13.92 192 $2,673B & D INTEGRATED HEALTH SERVICES ALLIANCE $20.00 $20.00 201 $4,020EASTER SEALS UCP NC & VA ALLIANCE $20.00 $20.00 273 $5,460MONARCH CARDINAL $18.00 $17.26 580 $10,140OUTREACH MANAGEMENT SERVICES PARTNERS $13.40 $13.40 62 $831RHA HEALTH SERVICES INC CARDINAL $17.26 $17.26 200 $3,452

EASTPOINTE $13.92 $13.92 171 $2,380VAYA $17.00 $17.00 405 $6,885TRILLIUM $18.44 $18.44 495 $9,128

STEPHENS OUTREACH CENTER INC EASTPOINTE $13.92 $13.92 61 $849THE SPARC NETWORK, LLC CARDINAL $17.26 $17.26 152 $2,624RHA BEHAVIORAL HEALTH NC LLC SANDHILLS $18.55 $18.55 196 $3,627

Assertive Engagement - AP & YA353 THERAPEUTIC ALTERNATIVES INC SANDHILLS $6.00 $6.00 150 $900Assertive Engagement - QP (L YA352 THERAPEUTIC ALTERNATIVES INC SANDHILLS $15.00 $15.00 344 $5,150Residential Supports YM850 APOGEE HOME TWO CARDINAL $75.09 $75.09 28 $2,103

EASTER SEALS UCP NC & VA CARDINAL $96.25 $96.25 64 $6,160INREACH CARDINAL $96.25 $96.25 147 $14,149RHA HEALTH SERVICES NC LLC CARDINAL $96.25 $96.25 120 $10,163THERAPEUTIC SERVICES GROUP CARDINAL $96.25 $96.25 76 $7,315RAES PLAYZE ADULT DAY CENTER CARDINAL $95.00 $95.00 30 $2,850DEVELOPMENTAL DISABILITIES RESOURCE CARDINAL $96.25 $96.25 373 $35,901LINDLEY HABILITATION SERVICES INC CARDINAL $96.25 $96.25 58 $5,583

Safety Supervisor - Hourly YA385 CRANDELL'S ENTERPRISES INC CARDINAL $15.00 $15.00 72 $1,080LifeSpan, Inc. CARDINAL $15.00 $15.00 30 $450MARSH'S RESIDENTIAL LIVING, LLC CARDINAL $15.00 $15.00 30 $450

Detox - Soc Set YP790 ANUVIA PREVENTION AND RECOVERY CENT CARDINAL $118.42 $118.42 424 $50,205Page 50 of 51




RateRate

Mode# Units

PaidTotal Paid*

Respite Hourly - Indiv YP010 ARC OF THE TRIANGLE INC CARDINAL $5.00 $5.00 20 $79AUTISM SOCIETY OF NORTH CAROLINA VAYA $3.75 $3.75 79 $296

TRILLIUM $5.00 $5.00 510 $2,550COMMUNITY-BASED DEVELOPMENTAL SERVI ALLIANCE $5.00 $5.00 20 $100EASTER SEALS UCP NC & VA VAYA $3.75 $3.75 28 $105

TRILLIUM $5.00 $5.00 83 $415HOMECARE MANAGEMENT CORPORATION VAYA $3.75 $3.75 12 $45MAXIM HEALTHCARE SERVICES VAYA $3.75 $3.75 12 $45PINNACLE HOME CARE INC. TRILLIUM $5.00 $5.00 19 $95THE ARC OF MOORE COUNTY INC SANDHILLS $5.00 $5.00 44 $220TLC OPERATIONS INC ALLIANCE $5.00 $5.00 30 $150TURNING POINT SERVICES VAYA $3.75 $3.75 43 $161CNC ACCESS INC CARDINAL $5.00 $5.00 13 $65

Community Respite YP730 ALPHA MNGMENT COMMUNITY SVCS INC ALLIANCE $160.79 $160.79 14 $2,251Respite Hourly - Group YP011 AUTISM SOCIETY OF NORTH CAROLINA TRILLIUM $1.67 $1.67 480 $802

EASTER SEALS UCP NC & VA TRILLIUM $1.67 $1.67 192 $321

Page 51 of 51

Date post:	26-Feb-2021
Category:	Documents
Upload:	others
View:	1 times
Download:	0 times

Rates Paid by LME/MCOs for State/Block Grant Funded Services Summary of Rates...Rates Paid by...

Documents