As of February 2019, about 71% of North Carolina Medicaid beneficiaries participating in a supportive housing program for people with serious mental illness (SMI) have remained in housing for two years. The program is called Transitions to Community Living Initiative (TCLI); it was launched by the North Carolina Department of Health and Human Services (DHHS) in 2013. Each of the state’s local management entities-managed care organizations (LME-MCOs) operate TCLI programs that provide Medicaid-eligible adults with SMI long-term housing, community-based services, supported employment, and community integration. At the end of February 2019 of the total . . .

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