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Referrals

Make a Referral

ACC accepts referrals from families, care managers, providers, schools, community agencies, and other referral sources. Our team reviews each referral to determine service fit, availability, payer requirements, and next steps.

01

Waiver / SCS Referrals

For care coordinators

Submit Waiver / SCS Referral (opens in a new tab)

Here's how it works

  1. Submit referral with ISP and care coordinator contact
  2. ACC reviews for service fit and authorization status
  3. Records review and team introduction
  4. Consultation/BSP work begins

Required documents

  • ISP
  • Guardian and care coordinator contact information
02

The Bridge Program Referrals

For families, care coordinators, and providers: autism plus at least one co-occurring mental health diagnosis

Submit Bridge Program Referral (opens in a new tab)

Here's how it works

  1. Submit referral with the diagnostic evaluation and Medicaid information
  2. ACC reviews the evaluation with the family or referral source to confirm fit
  3. Insurance and authorization are handled with the family
  4. ACC contacts the family or referral source
  5. Intake and assessment are scheduled with the client's two-clinician team

Required documents

  • Diagnostic evaluation documenting ASD and at least one mental health diagnosis
  • NC Medicaid ID and plan (Medicaid Direct, Standard Plan, or Tailored Plan)
  • Guardian or legally responsible person contact information
  • Current care plan or ISP, prescriber, and medications, if available

All ages: children, adolescents, and adults, living at home or in an AFL or group home, with a caregiver or support person available for training.

03

Outpatient Therapy Referrals

For families, physicians, and schools

Submit Outpatient Referral (opens in a new tab)

Here's how it works

  1. Submit referral with client and contact information
  2. ACC reviews for service fit and availability
  3. Insurance/authorization verification
  4. ACC contacts the family or referral source
  5. Intake or next steps are scheduled

Required documents

  • Insurance/Medicaid information
  • Guardian/contact information

Please do not use these forms for emergencies or urgent clinical needs. Information submitted through these forms will be reviewed during regular business operations. Submitting a form does not establish a provider-client relationship.

Submission of a referral or service request does not establish a provider-client relationship and does not guarantee acceptance for services. ACC reviews referrals based on clinical fit, service availability, payer requirements, authorization status, staffing, location, and program eligibility.

For referral sources

What you need to know before you refer.

You're a care manager, physician, school counselor, residential provider, or discharge planner. Here's what you need to know about sending a referral to ACC.

Who We Serve

Children, adolescents, adults, and families navigating mental health, trauma, autism, IDD, behavioral concerns, co-occurring needs, and complex care-team involvement.

Waiver Consultation

ACC accepts referrals for waiver-related consultation and complex-needs support for individuals with IDD, autism, co-occurring mental health needs, behavioral concerns, and traumatic brain injury when clinically appropriate, authorized, and within provider scope.

Common Reasons to Refer

  • Behavior Support Plan development or revision
  • Caregiver/DSP training on behavioral strategies
  • Behavior inconsistency between home and school
  • BSP/IEP alignment needs
  • TBI waiver behavioral consultation
  • Autism with a co-occurring mental health diagnosis, at any age (The Bridge Program)
  • Outpatient therapy for complex or co-occurring needs
  • TF-CBT for youth with trauma and developmental differences (Alliance and Vaya networks)
  • Care-team coordination and clinical consultation

A Clear Referral Workflow

Referral sources need clear communication and timely next steps. ACC uses structured referral workflows to help track incoming referrals, payer information, service requests, provider availability, and follow-up tasks. This helps our team respond more consistently and route referrals to the appropriate service pathway.

Send protected health information by secure email or fax only.