Charlotte is North Carolina's largest city and the seat of Mecklenburg County, and the public systems an autistic child moves through here follow the same statewide map every North Carolina family uses: a county-based early intervention agency for children under three, a school district with a Child Find duty from age three onward, a regional public authority for Medicaid-funded behavioral health and waiver services, and a university-run diagnostic network with its own Charlotte office. None of those doors requires wealth or connections to reach — but each has its own phone number, its own paperwork, and in some cases a long wait.

This page names those doors for Mecklenburg County: the CDSA that runs early intervention referrals, four public school systems in the Charlotte metro that each carry a Child Find duty, three hospital- and university-based evaluation programs, the LME/MCO that manages Medicaid behavioral health and the state's oversubscribed autism waiver, and local nonprofits that help families navigate all of it. Every phone number and program name below was checked against the source agency's own page.

Statewide programs, numbers, and rights are on the North Carolina page. This page adds the local entry points that are specific to Charlotte metro (Mecklenburg County).

Early intervention under 3: North Carolina Infant-Toddler Program (NC ITP), delivered locally by the CDSA of Mecklenburg County

North Carolina's Part C early intervention system is called the NC Infant-Toddler Program, and it is carried out on the ground by 16 regional Children's Developmental Services Agencies, or CDSAs. Mecklenburg County's is the CDSA of Mecklenburg County, based in Charlotte. A parent, physician, allied health professional, or educator can open a referral by phone, fax, letter, in person, or with the state's NC ITP Referral form, and a medical diagnosis is not a prerequisite to start. Once a family is referred, CDSA staff gather developmental and medical history and complete the assessments needed to decide whether a child under 3 qualifies for services. Screening, evaluation, and service coordination are provided to every family at no cost, regardless of insurance status or household income.

• North Carolina Infant-Toddler Program (NC ITP), delivered locally by the CDSA of Mecklenburg County
• Referral phone: 704-336-7100 (CDSA of Mecklenburg County)

New to early intervention? Read the plain-language guide first.

School districts and special education

The NC Department of Public Instruction's Exceptional Children Division coordinates Child Find statewide — locating and evaluating children from birth through 21 who may have a disability — but each public school district runs its own intake and evaluation process. A parent can start that process by contacting a child's home school or the district's Exceptional Children office directly; Charlotte-Mecklenburg Schools describes a four-step path running from a referral meeting to written parental consent, a comprehensive evaluation, an eligibility meeting, and — if a child qualifies — an Individualized Education Program. Because Charlotte's built-up area now reaches into neighboring counties, families near the city's edges may be zoned into a different district's Child Find process entirely.

• Charlotte-Mecklenburg Schools — Exceptional Children Program 980-343-6960 (ec@cms.k12.nc.us); preschool intake line 980-343-2720; separate contacts for private/home-school evaluation requests
• Union County Public Schools — covers the fast-growing suburbs southeast of Charlotte; district office 704-296-9898
• Cabarrus County Schools — covers Charlotte's northeastern suburbs toward Concord; Exceptional Children Director's office 704-260-5770
• Gaston County Schools — covers Charlotte's western suburbs across the Catawba River; district office 704-866-6100

IEP or 504 · If you disagree with the school

Evaluation and diagnosis pathways in Charlotte

These are hospital and university programs with public intake information. Listing here is informational — it is not a recommendation, and it is not medical advice. Public school evaluation is free and does not require any of these.

• UNC TEACCH Autism Program — Charlotte Center — diagnostic evaluation, intervention and therapy services, education, and consultation for individuals on the autism spectrum, run by UNC's statewide TEACCH network out of a dedicated Charlotte office; the center's referral page points to a professional referral form, so call ahead to confirm whether a family can refer itself or needs a provider to start the process · 919-445-2365
• Atrium Health Levine Children's — Developmental & Behavioral Pediatrics — evaluation and management of autism spectrum disorder, complex ADHD, developmental delays, and related genetic and prenatal-exposure conditions, plus individual and group therapy; enrollment requires a primary care referral (North or South Carolina only), registration in the CHADIS online intake system, and completed caregiver and teacher questionnaires before scheduling · 704-403-2626
• Novant Health — Developmental & Behavioral Pediatrics (Eastover, Charlotte) — evaluation and diagnosis of autism, ADHD, and other developmental or behavioral concerns for patients from birth to age 18, with treatment plans built around school and daily-life goals · 704-384-0567

How assessment works · What to do while you wait

Disability services and waivers: Alliance Health (Mecklenburg County's LME/MCO)

North Carolina funds Medicaid-paid mental health, substance use, and intellectual/developmental disability services through regional public managed-care organizations called LME/MCOs. Mecklenburg County's is Alliance Health, which also handles eligibility and enrollment for the NC Innovations Waiver — the state's home- and community-based Medicaid waiver for people with I/DD, including autism — through a Tailored Plan, the only kind of NC Medicaid plan that unlocks waiver services. Because Innovations slots are limited, the state keeps applicants on a Registry of Unmet Needs rather than enrolling everyone who qualifies; a bill filed in the NC Senate in 2025 put the statewide count at roughly 19,000 people waiting, with real waits that can stretch for years. Families can add a child's name to that registry through Alliance Health before a diagnosis is even finished, and can separately ask about NC Medicaid's 1915(i) option, which offers some comparable services without giving up a family's place in line.

• Alliance Health (Mecklenburg County's LME/MCO)
• Phone: 1-800-510-9132 (Alliance Health member and recipient services)

Local organizations that help Charlotte families

• Exceptional Children's Assistance Center (ECAC) — North Carolina's federally designated parent training and information center; free help for families of children with disabilities or special health needs, birth through 26 (704-892-1321, helpline 1-800-962-6817)
• The Arc of North Carolina — Charlotte Region — regional office of the statewide I/DD advocacy and services network (919-782-4632)
• YMCA of Greater Charlotte — Adaptive Programs — Miracle League adaptive baseball, adaptive swim lessons, non-competitive basketball, and North Carolina's only adaptive water-skiing program, based at the wheelchair-accessible Keith Family YMCA (704-716-6700); the Y says no one is turned away for inability to pay

Documented waits and access notes

Wait times change. Each note below links to the public source it came from — confirm current status directly with the program.

• A bill filed in the North Carolina Senate in 2025 (S246) states that approximately 19,000 people with intellectual or developmental disabilities were on the NC Innovations Waiver waiting list, and that only 2,000 new slots had been added statewide over the prior decade even as the list roughly doubled. (source)
• NC Medicaid's Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans launched July 1, 2024, and are now the only NC Medicaid plans that give access to NC Innovations Waiver or Traumatic Brain Injury Waiver services — a structural change worth knowing about if older materials still describe the prior system. (source)
• From the day a Charlotte-Mecklenburg Schools family puts an evaluation request in writing, North Carolina’s rule gives the district only 90 calendar days to evaluate, decide eligibility, write an IEP, and begin placement — with no extensions allowed even by mutual agreement. (source)
• The CDSA of Mecklenburg County is required to finish its evaluation and convene the first IFSP meeting inside 45 days of a referral, the same federal Part C benchmark every North Carolina CDSA follows. (source)
• The NC Innovations Waiver's Registry of Unmet Needs can keep a Mecklenburg County family waiting for a decade or more, since the state has been adding new waiver slots far slower than new names join the list. (source)