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Associated Press

RALEIGH, NC (AP) — North Carolina officials have missed a federal deadline for dealing with thousands of people with mental illness who live in adult care homes. And it has advocates worried patients may have nowhere to go besides emergency rooms, shelters or the street.

Meanwhile, state officials say the number of facilities whose patients may have to leave has increased from 38 to 52.

This all comes because the federal agency that oversees Medicaid notified the state earlier this year that it was in violation because of how it pays for the care of people with mental illness.

Medicaid rules forbid some of the state’s arrangements and federal officials gave a Sept. 1 deadline to develop a solution.

State officials did not and say they hope the deadline could be extended.

(Copyright 2011 by The Associated Press. All Rights Reserved.)

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