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In Lieu of Services (ILOS)

In Lieu of Services are alternative services or settings that are substituted for services or settings covered under the Medicaid or NC Health Choice State Plans or otherwise covered by this Contract but have been determined by the Department to be medically appropriate, cost-effective substitutes for the State Plan services included within this Contract.

Massage Therapy

Carolina Complete Health is committed to fighting the opioid epidemic in NC by offering evidenced-based alternatives in lieu of opiate therapies for chronic pain. According to the National Institutes of Health’s (NIH) National Center for Complementary and Integrative Health, massage therapy has shown to be effective in the treatment of certain chronic pain conditions, including back and neck pain, osteoarthritis/knee pain, and headache.

Provider Education:

Inpatient psychiatric care/treatment in Institutes for Mental Disease (IMD)

Institute of Mental Disease (IMD) in lieu of Emergency Department stays and Medical Stays for Behavioral Health Needs: This service offers psychiatric and therapeutic interventions including medication management, group therapy and room and board. The goal of this service is stabilization of psychiatric symptoms to allow for treatment in a less restrictive setting.

Behavioral Health Urgent Care (BHUC) 

BHUC offers a safe alternative and diversion from the use of hospital emergency departments to address the needs of Members experiencing behavioral health crises. A BHUC is a service containing Triage, Crisis Assessment, Interventions, Disposition and Discharge Planning with the goal to reduce inappropriate utilization of the Emergency Department for BH specific needs and assisting Members by linking them to more clinically appropriate community based services and decreasing the recurrence of crisis needs.

Page Last Updated: 02/27/2024