The North Carolina state auditor says that for the past seven years the state has not provided adequate oversight of the seven local management entity-managed care organizations (LME-MCOs) that manage Medicaid behavioral health, addiction treatment, and disability support benefits. The auditor said the North Carolina Department of Health and Human Services (DHHS) failed to obtain reports needed to ensure that services were provided, costs were reasonable, or that performance standards were met. DHHS did not document how it conducted evaluations, the results of the evaluations, or the feedback provided to the LME-MCOs as a result of the . . .