Monarch

Monarch residential services: monarch manages small group homes (2-9 people), apartment programs and complexes, along with independent living in the community for people who have intellectual/developmental disabilities or mental illness. Group home settings provide 24 hour supervision. Sites access qualified professionals, nurses, physicians, various therapists, dieticians, psychologists or psychiatric services as needed. Apartment programs and supports in the community may be 24 hour or periodic. Person center plans are developed and implemented based on an individual's dreams, values and family culture to create goals for greater independence at home and in the community. 477 patients were served in the current year.

Monarch day/employment/periodic services: monarch provides a variety of day/employment services including supported employment, micro-enterprise, and job development to help people become employed. Volunteering and community involvement with skills development assist those who choose not to work yet, for various reasons. When needed, day supports can also provide assistance in gaining higher education. Person center plans are developed and implemented based on an individual's dreams, values and family culture to create goals for greater independence at home and in the community. 1,065 patients were served in the current year.

Nc medicaid is committed to effectively managing patients medical, social and behavioral conditions through a teambased, personcentered approach called care management. All medicaid enrollees will have access to appropriate care management and coordination support across multiple settings of care, including a strong basis in primary care and connections to specialty care and communitybased resources. Enrollees with high medical, behavioral or social needs should have access to a program of care management that includes the involvement of a multidisciplinary care team and the development of a written care plan. Local care management (care management performed at the site of care, in the home, or in the community where facetoface interaction is possible) is the preferred approach, building on the strengths of the current care management structure. Care managers will have access to timely and complete enrolleelevel information. As part of care management and care coordination, enrollees will have access to direct linkages to programs and services that address unmet healthrelated resource needs affecting social determinants of health, along with followup and ongoing planning. Care management activities will align with overall statewide priorities for achieving quality outcomes and value. 1,340 patients were served in the current year.ancillary program service revenue including rents, sales of inventory & refunds / reimbursements related to exempt purpose.