Addendum: It seems that Cardinal Innovation’s approach on mental health care for the undocumented community is not unique.

N.C. Department of Health and Human Services spokeswoman Julie Henry notified INDY Week after its print deadline Tuesday that undocumented immigrants are only eligible for emergency service coverage under Medicaid rule, echoing the comments of Cardinal leaders in today’s story. That indicates managed care organizations such as Cardinal—which is charged with dispensing public dollars for mental health treatment—are following the rule statewide to deny Medicaid reimbursements to providers treating mental illness among undocumented residents.

Today’s story investigates the impacts of the policy on the undocumented community and general public health—in particular, the impacts on nonprofits such as El Futuro that provide mental health services for the undocumented and Latino population. An El Futuro board member argues that the rule is stressing nonprofit finances and may clash with federal laws that order healthcare providers to offer services regardless of citizenship.

It is unclear whether federal law requires a denial for undocumented reimbursements. Medicaid is a joint spending venture primarily paid for by the federal government, but many North Carolina lawmakers have been targeting Medicaid for cuts since state spending peaked at higher than $3 billion in 2009.

Cardinal Innovations serves a 15-county region in the state that includes Orange and Chatham counties.