APRIL 2014
CRISIS SERVICES
State Authorization:
G. S. §122C-147.1; S.L. 2006-66 (Senate Bill 1741), Part X, Section 10.26
(a) - (f); S.L. 2007-323 (House Bill 1473), Part X, Section 10.49; S.L.2008107 (House Bill 2436), Part X, Section 10.15 (l) (m); S.L. 2009-451 (Senate
Bill 202), Part X, Section 10.12(b)
N. C. Department of Health and Human Services
Division of Mental Health, Developmental Disabilities and Substance Abuse Services
Agency Contact Person - Program
N. C. DHHS Confirmation Reports:
Flo Stein, Chief
Community Policy Management
NC Division of MH/DD/SAS
3007 Mail Service Center
Raleigh, NC 27699-3007
(919) 733-4670
Flo.Stein@dhhs.nc.gov
SFY 2014 audit confirmation reports for payments made
to Counties, Managed Care Organizations (MCOs or,
formerly, Local Management Entities), Boards of
Education, Councils of Government, District Health
Departments and DHSR Grant Subrecipients will be
available by early September at the following web
address:
http://www.ncdhhs.gov/control/auditconfirms.htm.
At
this site, click on the link entitled “Audit Confirmation
Reports (State Fiscal Year 2013-2014)”. Additionally,
audit confirmation reports for Nongovernmental entities
receiving financial assistance from the DHHS are found at
the same website except select “Non-Governmental Audit
Confirmation Reports (State Fiscal Years 2012-2014)”.
Agency Contact Person – Financial
Jay Dixon
Financial Operations
NC Division of MH/DD/SAS
3013 Mail Service Center
Raleigh, NC 27699-3013
Phone: (919) 733-7013
Jay.Dixon@dhhs.nc.gov
The auditor should not consider the Supplement to be “safe harbor” for identifying audit
procedures to apply in a particular engagement, but the auditor should be prepared to justify
departures from the suggested procedures. The auditor can consider the Supplement a “safe
harbor” for identification of compliance requirements to be tested if the auditor performs
reasonable procedures to ensure that the requirements in the Supplement are current. The
grantor agency may elect to review audit working papers to determine that audit tests are
adequate.
I. PROGRAM OBJECTIVES
In July 2006, the General Assembly designated $5.2 million for LMEs to develop long-term plans
and for operational start-up of local crisis services (Session 2006, Senate Bill 1741). Additional
funds provided in S.L. 2007-323 (House Bill 1473, Section 10.49) were designated for continued
implementation of these plans. Over State fiscal years 2007 and 2008, each LME developed a
long-term plan and worked with providers to establish new crisis services. The goals of this
program are to:
Expand Crisis Services:
 Crisis funds available to DHHS are to be allocated to LME/MCOs to continue to implement
the crisis plans developed.
 Crisis funds available to DHHS are to be allocated to LME/MCOs to continue increasing the
crisis services available throughout the State of North Carolina.
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

Crisis services are to be made available to all age and disability groups, and are to be
allocated as non-disability specific general services funds.
Directs DHHS to develop a system for reporting on crisis visits to community hospital
emergency departments.
Since July 2008, LMEs report the use of State funds to help cover costs of crisis services and
supports.
Facility-Based Crisis Services – Currently a service for adults with efforts on hold to expand the
service to children and adolescents. Professional Treatment Services in a Facility-Based Crisis
Program is a service persons who have a mental illness, intellectual/developmental disability
(IDD), and/or substance abuse disorder and is provided in a 24-hour residential facility, licensed
under 10A NCAC 27G .5000, with 16 beds or less, designated as an involuntary treatment facility
by DHHS in accordance with 10A NCAC 26C .0100. The Facility-Based Crisis Program is
under the clinical oversight of a psychiatrist. This is a short term service that provides disabilityspecific care and treatment in a non-hospital setting for individuals requiring acute crisis
stabilization. This crisis stabilization service includes a comprehensive clinical assessment,
treatment intervention, behavior management or support plan, and aftercare planning. This
service is designed as a time-limited alternative to hospitalization for an individual in crisis.
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
Local Inpatient Services – Psychiatric inpatient services located in community hospitals.
These hospitals have designated psychiatric units. Services are provided through a 3-way
contract between DHHS-DMH/DD/SAS, the LME and the local hospital contractor.

Mobile Crisis Team – Mobile Crisis Management (MCM) services are delivered by members
of a multidisciplinary team to provide integrated crisis response 24 hours a day, 7 days a
week, 365 days a year. MCM is a short-term, situational crisis response service, not an
ongoing treatment service. MCM services are offered face-to-face in the community to deescalate and stabilize crisis events, with the goal of preventing psychiatric hospitalization.
Services also include immediate telephonic triage, as well as assistance to the recipient to
gain access and safe transition to clinically necessary mental health, developmental
disabilities, and/or substance abuse services; treatment and supports for symptom reduction;
and crisis stabilization.

Crisis Respite Beds – Crisis Respite may be used when a person cannot be safely supported
in their home due to his/her behavior and implementation of formal behavior interventions
have failed to stabilize the behaviors and/or all other approaches to insure health and safety
have failed. In addition, the service may be used as a planned respite stay for waiver
participants who are unable to access regular respite due to the nature of their behaviors.

Detox Services – A continuum of services designed for the safe detoxification is an organized
service delivered by medical and nursing professionals that provides for 24-hour medically
supervised evaluation and withdrawal management in a permanent facility affiliated with a
hospital or in a freestanding facility of 16 beds or less. Services are delivered under a defined
set of physician-approved policies and physician-monitored procedures and clinical
protocols.

After-Hour Crisis Services – 24/7/365 telephone access operated by the LMEs. Licensed
professionals are available to triage and refer persons in crisis to any of these other services in
the crisis continuum.

Transition Beds – A transitional residential treatment program which provides 24-hour
residential treatment and rehabilitation for adults who have a pattern of difficult behaviors
related to mental illness which exceeds the capabilities of traditional community residential
settings.
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
Walk-In Crisis Services – At a walk-in site an adult, adolescent, or family in crisis can
receive immediate care. The care may include an assessment and diagnosis for mental
illness, substance abuse, and developmental disability issues as well as planning and referral
for future treatment. Other services may include medication management, outpatient
treatment, and short-term follow-up care. Psychiatric aftercare may also assist consumers
returning to the community from a state psychiatric hospital or alcohol and drug abuse
treatment center until they are established with a local clinical provider.

Peer Support Services – A community-based service for adults age eighteen (18) and older
who have a mental illness or a substance abuse disorder. PSS is provided by a Certified Peer
Support Specialist who has self-identified as a person in recovery from mental illness or
substance abuse issues and is committed to his or her own recovery. PSS provides structured,
scheduled activities that promote recovery, self-determination, self-advocacy, and
enhancement of community living skills. Peer Support Service is an individualized,
recovery-focused service, based on a relationship of mutuality that allows the individual an
opportunity to learn to manage his or her own recovery.

Emergency Department Safe Areas – A block or rooms or areas in community hospitals that
are created specifically for persons experiencing psychiatric crises. The set up varies from
hospital to hospital but all involve close observation in a safe protected setting.

Telemedicine and/or Telepsychiatry – A broad term referring to the provision of mental
health care from a distance. Telemedicine for mental health includes mental health
assessment, treatment, education, monitoring, and collaboration. Patients can be located in
hospitals, clinics, schools, nursing facilities, prisons and homes. TMH providers and staff
include psychiatrists, nurse practitioners, physician assistants, social workers, psychologists,
counselors, primary care providers and nurses. The goal of the telemedicine provider is to
eliminate disparities in patient access to quality, evidence-based, and emerging health care
diagnostics and treatments.

North Carolina Systemic, Therapeutic Assessment, Respite and Treatment (NC START) –
North Carolina Session Law 2008 appropriated funds to implement NC START, an
evidenced-based model of community based crisis prevention and intervention services for
people with Intellectual/Developmental Disabilities (I/DD) who are at least 18 years of age
and who experience crises due to mental health or complex behavioral health issues. The
goal of NC START is to create a support network that is able to respond to crisis needs at the
community level. The emphasis and focus of NC START is on prevention of crisis through
identification of high risk individuals, and on crisis planning and prevention with detailed
follow up of individuals served. A primary focus of the teams is to prevent unnecessary use
of emergency mental health and psychiatric inpatient service for individuals with IDD and
mental illness or challenging behaviors. Providing community based, person centered
supports that enable individuals to remain in their home or community placement is the first
priority.

3 Way Contracts – The Division, LME-MCOs, and select hospitals have entered into
contracts for the purchase of local inpatient bed days to divert those individuals requiring
short term stays from state psychiatric hospitals. The services will be billed under the service
code YP821 (3 way hospital bed day) or YP822 (enhanced 3 way hospital bed day). For SFY
2013-2014 hospitals were reimbursed at $750 per bed day for YP821 services and $900 per
bed day for YP822 services.
Suggested Audit Procedures
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a. Sample services and verify that all providers being reimbursed for YP821 and/or YP822
have a valid contract covering the term in which the service was provided.
b. From the verified sample set, test to ensure that rates for YP821 and YP822 were not
supplemented from other payment sources.
II. PROGRAM PROCEDURES
Expand Crisis Services:
Implementation of the Crisis Plans

There is written evidence of a Division approved crisis plan by which LME/MCOs within a
crisis region shall work together to identify gaps in their ability to provide a continuum of
crisis services for all consumers and use the funds allocated to them to develop and
implement a plan to address those needs. At a minimum, the plan must address the
development over time of the following components: 24-hour crisis telephone lines, walk-in
crisis services, mobile crisis outreach, crisis respite/residential services, crisis stabilization
units, 24-hour beds, facility-based crisis, in-patient crisis, detox, and transportation. Options
for voluntary admissions to a secured facility must include at least one service appropriate to
address the mental health, developmental disability, and substance abuse needs of adults, and
the mental health, developmental disability, and substance abuse needs of children. Options
for involuntary commitment to a secured facility must include at least one option in addition
to admission to a State facility.

There is written evidence that if LME/MCOs in a crisis region determine that a facility-based
crisis center is needed and sustainable on a long-term basis, the crisis region shall first
attempt to secure those services through a community hospital or other community facility.
This written evidence shall document that if all the LME/MCOs in the crisis region determine
the region’s crisis needs are being met, the LME/MCOs may use the funds to meet local crisis
service needs.
Increasing the Crisis Services

There is written evidence that LME/MCO’s shall work with sheriffs and county public health
agencies to serve individuals who are incarcerated or being held in county jails and who are
in need of crisis services.
Implementation of NC START

Each of the providers was required to submit an implementation plan outlining how the
elements of the NC START model would be implemented.

A comprehensive template and corresponding data base has been developed for quarterly
reporting by the regional clinical teams and respite homes through the host LME/MCOs who
in turn submit the data to DMH/DD/SAS and DSOHF. Broad reporting components include:
Information on individuals served, referral and crisis intervention services provided, planned
services and training/education provided, and respite home utilization.
III. COMPLIANCE REQUIREMENTS
Crosscutting Requirements
The DHHS/Division of Mental Health, Developmental Disabilities and Substance Abuse
Services (DMH/DD/SAS) mandates that all the testing included within the crosscutting
section be performed by the local auditors. Please refer to that section, which is identified
as “DMH-0” for those mandated requirements.
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1. ACTIVITIES ALLOWED OR UNALLOWED
Compliance Requirement
There is written evidence that these funds shall be used to develop a continuum of crisis
services for all consumers in the LME/MCO’s catchment area. At a minimum, these services
include the following components: 24-hour crisis telephone lines, walk-in crisis services,
mobile crisis outreach, crisis respite/residential services, crisis stabilization units, 24-hour
beds, facility-based crisis, in-patient crisis, detox, and transportation. In addition, there shall
be at least one service appropriate to address the MH/DD/SA needs of adults and of children
respectively in a secured facility. Provision shall also be made for the availability of at least
one secured facility to treat individuals under petition of involuntary commitment as an
alternative to admission to a State facility.
For NC START there is written evidence that these funds shall be used to develop and
implement NC START services according to the required components of the model. At a
minimum there must be six crisis/clinical teams; two teams per region of the state and twelve
respite beds; four per region.
Audit Objectives
a. Determine whether funds were expended only for allowable activities.
Suggested Audit Procedures:
a. Crisis services funds are disbursed on a UCR and Non-UCR basis condensed into one
account 1464 536996001 without distinction by age or disability for these funds, sample
local documentation on individual client record to verify that clients were enrolled in the
Common Name Data System (CNDS), the Consumer Data Warehouse (CDW) and an
approved NCTracks target population and that services were provided.
b. Verify that expenditures match the monthly Non-UCR expenditure report submitted to
DMH/DD/SAS regarding the use of crisis services funds.
c. Review contract requirements and determine activities which are allowable for
reimbursement.
d. Sample monthly billings to the DMHDDSAS to verify that the activities billed for relate
directly to the allowable activities to be reimbursed under the terms of the Contract.
e. For NC START:
 Determine whether the host LME/MCO monitored the contract with the provider of
NC START services including review of billing for specific NC START activities.
 Determine whether the host LME/MCO reviewed the NC START contract with
providers to ensure adherence to the terms of the contract.
2. ALLOWABLE COSTS/COST PRINCIPLES
Compliance Requirement
All grantees that expend State funds (including federal funds passed through the N. C.
Department of Health and Human Services) are required to comply with the cost principles
described in the N. C. Administrative Code at 09 NCAC 03M.0201.
Audit Objectives
a. Determine whether funds expended were allowable and in accordance with the applicable
cost principles.
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Suggested Audit Procedures
a. Review contract requirements and determine types of activities which are allowable for
reimbursement under the terms of the Contract.
b. Sample monthly billings to the DMH/DD/SAS to verify that the costs billed to the
DMH/DD/SAS were accurate and relate directly to the allowable activities to be
reimbursed under the terms of the Contract.
3. CASH MANAGEMENT
This requirement does not apply at the local level.
4. CONFLICT OF INTEREST AND CERTIFICATION OF NO OVERDUE TAX DEBT
Compliance Requirement
All non-State entities (except those entities subject to the audit and other reporting
requirements of the Local Government Commission) that receive, use or expend State funds
(including federal funds passed through the N. C. Department of Health and Human Services)
are subject to the financial reporting requirements of G. S. 143C-6-23 effective July 1, 2007.
These requirements include the submission of a Notarized Conflict of Interest Policy (see
G. S. 143C-6-23(b)) and a written statement (if applicable) that the entity does not have any
overdue tax debts as defined by G. S. 105-243.1 at the federal, State or local level (see G. S.
143-6-23(c)).
G. S. 143C-6-23(b) stipulates that every grantee shall file with the State agency disbursing
funds to the grantee a copy of that grantee’s policy addressing conflicts of interest that may
arise involving the grantee’s management employees and the members of its board of
directors or other governing body. The policy shall address situations in which any of these
individuals may directly or indirectly benefit, except as the grantee’s employees or members
of its board or other governing body, from the grantee’s disbursing of State funds, and shall
include actions to be taken by the grantee or the individual, or both, to avoid conflicts of
interest and the appearance of impropriety. The policy shall be filed before the disbursing
State agency may disburse the grant funds.
All non-State entities that provide State funding to a non-State entity (except any non-State
entity subject to the audit and other reporting requirements of the Local Government
Commission) must hold the sub-grantee accountable for the legal and appropriate expenditure
of those State grant funds.
Audit Objectives
a. Determine whether the entity has adequate policies and procedures regarding the
disclosure of possible conflicts of interest.
Suggested Audit Procedures
a. Ascertain that the grantee has a conflict of interest policy.
b. Verify through Board minutes that the policy was adopted before the grantee received
and disbursed State funds.
5. ELIGIBILITY
Compliance Requirement
Adults and children (age 3 and older) who have completed a Screening/Triage/Referral
Interview and have received an “Emergent” triage determination, or who are currently
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enrolled in an MH/DD/SA target population and who are in need of crisis or emergency
services beyond the capacity of the designated First Responder provider.
Note: An individual who is eligible for Medicaid is not eligible for the Crisis Services
target population, nor is an individual who is eligible for both Medicaid and State Funded
services. The Crisis Services target population is limited to only those individuals who
either:
a) have no NCTracks target population eligibility, or
b) have only NCTracks target population eligibility, but not Medicaid eligibility.
Eligibility for the Crisis Services target population requires LME/MCO admission of
consumer into the CDW through completion of the Identifying Information (Record 10 or
30), Demographics (Record 11 or 31), and Substance Abuse (Drug of Choice) Details
(Record 17 or 37).
The LME/MCO may establish the initial eligibility period in a Crisis Services (AMCS,
CMCS, ASCS, CSCS, ADCS and CDCS) population group for up to fourteen (14) days.
After the initial eligibility period, the consumer must be reassessed and determined to
continue to be in need of crisis and emergency services to be considered for another fourteen
(14) day eligibility period.
People with Intellectual/Developmental Disabilities (I/DD) who are at least 18 years of age
and who experience crises due to mental health or complex behavioral health issues are
eligible for NC START services.
Audit Objectives
a. Determine whether required eligibility determinations were made, (including obtaining
any required documentation/verifications), that individual program participants or groups
of participants (including area of service delivery) were determined to be eligible, and
that only eligible individuals or groups of individuals (including area of service delivery)
participated in the program.
b. Determine whether sub awards were made only to eligible sub recipients.
c. Determine whether amounts provided to or on behalf of eligibles were calculated in
accordance with program requirements.
Suggested Audit Procedures
a. Select a sample of client records for individuals served under the terms of the Contract;
b. Review client records for documentation that allowed services were provided to
individuals with any age/disability.
c. Review of NC START quarterly reporting requirements for documentation that allowed
services were provided only to individuals 18 years of age and older with IDD and
behavioral healthcare needs.
6. EQUIPMENT AND REAL PROPERTY MANAGEMENT
Compliance Requirement
Equipment Management
This requirement refers to tangible property that has a useful life of more than one year and
costs $5,000 or more. Such equipment may only be purchased per the conditions of the
approved contract or grant agreement. Shall the contract be terminated, any equipment
purchased under this program shall be returned to the Division.
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Real Property Management
This requirement does not apply to DMH/DD/SAS programs.
Audit Objectives
a. Determine whether the entity maintains proper records for equipment and adequately
safeguards and maintains equipment.
b. Determine whether disposition or encumbrance of any equipment or real property
acquired under State awards is in accordance with State requirements and that the
awarding agency was compensated for its share of any property sold.
Suggested Audit Procedures
a. Obtain entity’s policies and procedures for equipment management and ascertain if they
comply with the State’s policies and procedures.
b. Select a sample of equipment transactions and test for compliance with the State’s
policies and procedures for management and disposition of equipment.
7. MATCHING, LEVEL OF EFFORT, EARMARKING
This requirement does not apply at the local level.
8. PERIOD OF AVAILABILITY OF STATE FUNDS
Not applicable. This program is supported by State Funds only.
9. PROCUREMENT AND SUSPENSION AND DEBARMENT
This requirement does not apply to this program.
10. PROGRAM INCOME
This requirement does not apply at the local level.
11. REAL PROPERTY ACQUISITION AND RELOCATION ASSISTANCE
This requirement does not apply to DMH/DD/SAS programs.
12. REPORTING
Compliance Requirement
Semi-annual reports covering Mobile Crisis Management Team activities and Walk-in Crisis
and Immediate Psychiatric Aftercare site activities will be due February 15, 2010 and will
cover activity tracked from July 1st, 2009 through December 31st, 2009 and will continue on
an on-going basis.
Per G. S. §122C-147.1(d2), LMEs should implement a system to track funds expended on a
Non-UCR basis for each disability and for each age/disability category and shall identify the
specific services purchased with these funds via the Non-UCR reimbursement report to the
Division.
Quarterly reports on NC START activities will be due by the 20th of the month following the
end of the quarter.
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Audit Objectives
a. Determine whether required reports include all activities of the reporting period, are
supported by applicable accounting or performance records, and are fairly presented in
accordance with program requirements.
Suggested Audit Procedures
a. Review applicable laws, regulations and the provisions of the contract for reporting
requirements.
b. Verify that Contractor has provided semi-annual progress reports for Mobile Crisis and
Walk-in Services. Reports for the period of July 1 - December 31 are due on February
15th; Reports for January 1 - June 30 are due on August 15th.
c. Verify that Contractor has provided a final year-end report.
d. Ascertain if the financial reports were prepared in accordance with the required
accounting basis.
e. For Performance and special reports, verify that the data were accumulated and
summarized in accordance with the required or stated criteria and methodology, including
the accuracy and completeness of the reports.
f. Obtain written representation from management that the reports provided to the auditor,
are true copies of the reports submitted to the Division.
g. Review NC START quarterly reports to ensure that activities/components of the model
are provided.
13. SUBRECIPIENT MONITORING
Compliance Requirement
Monitoring is required if the agency disburses or transfers any State funds to other
organizations, except for the purchase of goods or services, the grantee shall require such
organizations to file with it similar reports and statements as required by G.S. §143C-6-22
and 6-23 and the applicable prescribed requirements of the Office of the State Auditor’s
Audit Advisory #2 (as revised January 2004) including its attachments. If the agency
disburses or transfers any pass-through federal funds received from the State to other
organizations, the agency shall require such organizations to comply with the applicable
requirements of OMB Circular A-133. Accordingly, the agency is responsible for monitoring
programmatic and fiscal compliance of subcontractors based on the guidance provided in this
compliance supplement and the audit procedures outlined in the DMH-0 Cross-cutting
Supplement.
Audit Objectives
a. Determine whether the pass-through entity properly identified State award information
and compliance requirements to the sub recipient, and approved only allowable activities
in the award documents.
b. Determine whether the pass-through entity monitored sub recipient activities to provide
reasonable assurance that the sub recipient administers State awards in compliance with
State requirements.
c. Determine whether the pass-through entity ensured required audits are performed, issued
a management decision on audit findings within 6 months after receipt of the sub
recipient’s audit report, and ensures that the sub recipient takes timely and appropriate
corrective action on all audit findings.
d. Determine whether in cases of continued inability or unwillingness of a sub recipient to
have the required audits, the pass-through entity took appropriate action using sanctions.
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e. Determine whether the pass-through entity evaluates the impact of sub recipient activities
on the pass-through entity.
Suggested Audit Procedures
a. Gain an understanding of the pass-through entity’s sub recipient procedures through a
review of the pass-through entity’s sub recipient monitoring policies and procedures (e.g.,
annual monitoring plan) and discussions with staff. This should include an understanding
of the scope, frequency, and timeliness of monitoring activities and the number, size, and
complexity of awards to sub recipients.
b. Review the pass-through entity’s documentation of during-the-award monitoring to
ascertain if the pass-through entity’s monitoring provided reasonable assurance that
subrecipients used State awards for authorized purposes, complied with laws, regulations,
and the provisions of contracts and grant agreements, and achieved performance goals.
c. Review the pass-through entity’s follow-up to ensure corrective action on deficiencies
noted in during-the-award monitoring.
d. Verify that in cases of continued inability or unwillingness of a sub recipient to have the
required audits, the pass-through entity took appropriate action using sanctions.
e. Verify that the effects of sub recipient noncompliance are properly reflected in the passthrough entity’s records.
14. SPECIAL TESTS AND PROVISIONS
Compliance Requirement
All grantees are required to comply with the N. C. Department of Health and Human Services
and the Division of Mental Health, Developmental Disabilities and Substance Abuse Services
records retention schedules and policies. Financial records shall be maintained in accordance
with established federal and state guidelines.
The records of the contractor shall be accessible for review by the staff of the North Carolina
Department of Health and Human Services and the Office of the State Auditor for the
purpose of monitoring services rendered, financial audits by third party payers, cost finding,
and research and evaluation.
Records shall be retained for a period of three years following the submission of the final
Financial Status Report or three years following the submission of a revised final Financial
Status Report. Also, if any litigation, claim, negotiation, audit, disallowance action, or other
action involving these funds has been started before expiration of the three year retention
period, the records must be retained until the completion of the action and resolution of all
issues which arise from it, or until the end of the regular three year period, whichever is later.
The grantee shall not destroy, purge or dispose of records related to these funds without the
express written consent of N. C. DHHS/DMH/DD/SAS.
The agency must comply with any additional requirements specified in the contract or to any
other performance-based measures or agreements made subsequent to the initiation of the
contract including but not limited to findings requiring a plan of correction or remediation in
order to bring the program into compliance.
Audit Objectives
a. To ensure compliance with the NCDHHS and DMH/DD/SAS records retention schedules
and policies.
b. To ensure compliance with all federal and state policies, laws and rules that pertains to
this fund source and/or to the contract/grant agreement.
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Suggested Audit Procedures
a. Verify that records related to this fund source are in compliance with N. C. DHHSDMH/DD/SAS record retention schedules and policies.
b. Review contract/grant agreement, LME/MCO Quarterly Report and other
documentations to verify that the following special requirements for the crisis services
program have been met:
 There are documented attempts to get additional capacity through existing resources,
i.e. community hospitals or other community agency facilities.
 The LME/MCO’s crisis plan factors in the need of all disability areas based upon the
priority needs of the region and the local LME.
 The local LME/MCO crisis plan incorporates input from key stakeholders in the
community.
 There is involvement from CFAC in the local crisis planning process.
 The LME conducts a comprehensive assessment of the crisis services component for
each disability area.
 The crisis plan identifies other future crisis services and/or capacity gap needs and
goals for each disability area.
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