A- IPRS stands for Integrated Payment & Reimbursement System. It refers to the use of state dollars (North Carolina) to pay for services. State IPRS funds are used to pay for services for consumers who are not eligible for other funding sources (i.e., Medicaid, Health Choice, Medicare, Private Insurance) or to pay for services that are not covered by these other funding sources (i.e., vocational programs). The state determines the amount of money Pathways and other LME s get and the state divides the funding into separate pots earmarked for certain consumers (adult mental health, adult substance abuse, adult developmental disability, etc.). These funds are not entitlements and are managed locally by Pathways. Most IPRS services include some payment by the consumer. Discounted fees are available on based on income and family size.