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Monarch

Resources for Patients and Visitors


Service Access and Insurance

We’re glad you found us. Monarch, founded in 1958, is one of North Carolina’s largest not-for-profit, comprehensive specialty mental health and human services providers. We offer quality care statewide for people with mental illness, substance use disorders and intellectual and developmental disabilities.

For information about our Mental Health Services, click here

To access details about our Long-Term Supports and Services for people with Intellectual and Developmental Disabilities, click here.

The system to access supports and services in North Carolina can be confusing for anyone to navigate. Most supports/services must be authorized and approved through the Managed Care Organizations (MCO), which the state uses to administer services to certain geographic areas. Expansion of North Carolina’s 1915 (b)/(c) Medicaid waiver requires approval by the federal Centers of Medicare and Medicaid (CMS).

Such approval allows each selected LME/MCO to develop a managed care delivery system to serve individuals with mental health, developmental disabilities and substance use disorder needs who are eligible for Medicaid. Each Managed Care Organization (MCO) receives from Medicaid a per capita rate based on historical service utilization patterns for these populations. The MCO assumes financial risk for covering required services for each Medicaid eligible individual.

The following provides some information and important forms to help you navigate the process. If you have questions, please call (866) 272-7826 or click here to find the appropriate Monarch contact. To report broken links found on this page, This email address is being protected from spambots. You need JavaScript enabled to view it..

We proudly partner with the following insurance payers:

Medicaid
Medicare
BCBS
Humana
Magellan
United Health – Optum Behavioral Health
MedCost
American BH
Corporate Benefit Services

Although we are contracted with the above carriers, it is not a guarantee of benefits or payments. All claim processing is subject to a plan's provisions and each individual’s benefits. Please review your plan's provider directory prior to scheduling and bring your insurance card to all Monarch appointments.

Medicaid Providers and Resources

There are several ways to find a Medicaid doctor, dentist, or any other medical provider. We suggest that before you make an appointment with any primary care, dental or mental health provider, please ask if Medicaid is accepted.

Click here to find health care providers in your area that accepts Medicaid benefits. Your county's Department of Social Services (DSS) should also have a recent list of providers in your region.

Sliding Fee Schedule-Discounts for Essential Services

NOTICE TO THE PEOPLE WE SUPPORT:

Individuals unable to pay full rate for services may qualify for a sliding fee based on family size and income. Click here to view the sliding fee schedule.

sliding fee schedule

AVISO PARA PACIENTES:

Las personas que no puedan pagar la tarifa total por los servicios pueden cualificar para un ajuste de precio basado en el tamaño de la familia y de los ingresos. Para obtener más información, pregunte en la recepción o visite aqui. Gracias.

Education and Rights Information

Learn more about Educational Information and Disability Rights

Psychiatric Advance Directive (PAD)

A Psychiatric Advance Directive (PAD) is a document executed by a person supported that expresses their wishes in advance regarding what types of treatments, services, and other assistance they want during a personal mental health crisis. Monarch will begin asking individuals who seek treatment if they have a PAD beginning in November and documenting this information in the electronic health record.

Click here for more information.

Rights and Responsibilities Handbook

Consumer Handbook

Resources

Privacy Policies

No Show Policy

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Universal Declaration of Human Rights of the United Nations

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Consent to Treat Form

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    Administrative Office: 350 Pee Dee Avenue, Suite 101, Albemarle, NC 28001
    Phone: (866) 272-7826 | Fax: (704) 982-5279