Enhanced Services Package Implementation: Costs, Administrative Decision Making, and Agency Leadership (July 2009)
This follow-up to the Division’s July 2008 report, Compromised Controls and Pace of Change Hampered Implementation of Enhanced Mental Health Services, examines expenditures, decision-making, and leadership associated with implementation of the Enhanced Services Package. Findings indicated a total of $2.4 billion was spent on enhanced services from April 2006 through February 2009, $827.2 million of which was North Carolina’s share of the costs. Analyses suggest effective planning and better oversight could have avoided costs of $498.5 to $635.3 million, of which $177.4 to $226.2 million would have been North Carolina’s share of the avoided costs.