Last year, North Carolina changed how it provides mental health care for those on Medicaid. The state put 11 regional organizations, called MCOs, in charge and gave them less money to work with. So, cuts to care were expected.
About half of these MCOs, including MeckLINK in Charlotte, have denied upward of 20 percent of requests for care, according to self-reported data from the organizations. Patients can appeal, but North Carolina has made the process far more difficult.