Provider Information > General

PROVIDER ENROLLMENT

Based on the identified needs of the community, AC LME is currently seeking applications for providers interested in obtaining a Memorandum of Agreement (MOA) for the following services:

• Outpatient Treatment (Independent Practitioners)

• Psychiatric Services

• Substance Abuse Services for Adolescents and Adults

• Services targeting the Hispanic/Latino population.  Note: Proposed programming, policies, and procedures shall address more than the availability of bilingual staff and shall demonstrate a solid understanding of the complex cross-cultural issues involved in the treatment of youth and families served. 

AC LME will honor requests for MOA’s with provider agencies that are currently endorsed by another LME to provide enhanced benefits.  We are not accepting applications for new services requiring endorsement (i.e. Child/Adolescent Residential Services-Group Type, Intensive In-Home Services, Community Support Team, etc.).

Any provider interesting in obtaining an MOA with AC LME must submit a complete Application for Enrollment with all required supporting documentation to:

AC LME
319 N. Graham-Hopedale Road-Suite A
Burlington, NC 27217
ATTN: Jean Gibson, Provider Liaison

In accordance with Communication Bulletin #049, AC LME will assume there is a need and honor requests for letters of support for facilities licensed under Section .5600-Supervised Living for Individuals of all Disability Groups.  Letters of Support for other facilities are not being honored at this time. 

You may request a Letter of Support by contacting Jean Gibson, Provider Liasion, at (336) 513-4200, ext. 4142 or via e-mail at jgibson@acmhddsa.org.