Articles in the Guardianship category - Page 5 of 5

What is an LME/MCO?

 It often feels like the mental health, developmental disabilities, and substance abuse (MH/DD/SA) fields and acronyms go hand in hand.  These acronyms can be confusing and intimidating to people who are not intimately familiar with this area of the law and practice.  This confusion is exacerbated by the fact that over the last few decades, there have been a number of changes to the delivery of public MH/DD/SA services in North Carolina.  One of the major changes was the creation of local management entities/managed care organizations (LME/MCOs).

The purpose of the LME/MCO is to deliver MH/DD/SA services by using primarily state and federal resources appropriated to them by state government to authorize, pay for, manage, and monitor services provided by their network of private providers.  See Mark F. Botts, Mental Health Services, in County and Municipal Government in North Carolina Ch. 40, at 683 (Frayda S. Bluestein ed., 2014).   As of today, there are eight LME/MCOs under contract with the NC Department of Health and Human Services (DHHS) to provide public MH/DD/SA services in North Carolina.

What is an MDE?

LME/MCOs overlap with the world of incompetency and adult guardianship proceedings filed before the clerk of superior court when it comes to the preparation and assembly of multidisciplinary evaluations (MDEs).  An MDE is an important tool in an incompetency proceeding under G.S. Chapter 35A that is used to assist the court in determining:

Vern and Jane are divorced and have one son, Teddy, who has severe intellectual and developmental disabilities.  When Teddy turns 17 ½ years old, Vern files a petition with the […]

We’ve now posted a handful of times about the Servicemembers Civil Relief Act (SCRA) on this blog.  In particular, we’ve posted on the SCRA’s application to non-judicial foreclosures, juvenile proceedings, […]

Last week, two bills were introduced in the NC House pertaining to adult guardianship* – H817 and H883.  The first proposes the adoption of the Uniform Adult Guardianship and Protective Proceedings Jurisdiction Act (UAGPPJA) by creating a new Chapter 35B.  The second directs the Legislative Research Commission to study UAGPPJA and recommend whether NC should adopt the act.

So just what is UAGPPJA? (Pronounced, “You-Ah-Gap-Jah”)