On November 5, 2020, the Orange County Board of County Commissioners approved moving forward with disengaging from its current LME/MCO and realigning with Alliance Health. You can access a November 16 letter sent to the NC DHHS Secretary here.

On February 16, 2021, the Commissioners voted unanimously to approve a Disengagement Plan and authorize their County Manager to continue the formal disengagement process.

Orange County has posted its Disengagement Plan and seeks public comment on the plan. Public comment should be submitted by April 18 to [email protected] or by mail addressed to:

ATTN: Orange County Manager
LME/MCO Realignment
300 West Tryon St.
Hillsborough, NC 27278

FAQs for Members

What is this all about?

On November 5, 2020, the Orange County Board of Commissioners voted to make a change in which of North Carolina’s Local Management Entity/Managed Care Organizations (LME/MCOs) has responsibility for managing behavioral health and intellectual/developmental disability services for its citizens who are insured by Medicaid or who have no health insurance. This process is called “disengagement” or “realignment.” In this case, that responsibility would transition from Cardinal Innovations Healthcare to Alliance Health. On February 16, 2021, the Commissioners unanimously approved a Disengagement Plan to make this change.

More information about this realignment process is available on the Orange County website at www.orangecountync.gov/2634/LMEMCO-Disengagement the Alliance Health website at https://www.alliancehealthplan.org/about-alliance/orange-county-lme-mco-disengagement/.

When will this realignment take place?

We expect that Alliance will begin managing these services for Orange County citizens on January 1, 2022. First, Orange County must complete a Planning Phase and get the approval of the Secretary of the North Carolina Department of Health and Human Services (NC DHHS) for this realignment. This Planning Phase will take at least six months. Once the change is approved, it will take another four months go make all the preparations necessary for Alliance to begin serving the people of Orange County.

Will things change for me?

Not immediately. We anticipate that Alliance will begin to manage services beginning on January 1, 2022 for citizens of Orange County who are insured by Medicaid or have no health insurance, and who receive mental health, substance use disorder, or intellectual and developmental disabilities services.

People who are currently covered by the Alliance Health Plan, who are called “Members,” will not be affected by this change in Orange County.

I currently receive services in Orange County that are managed by Cardinal. Will I get to keep my same service provider?

Yes. Alliance will work with providers currently serving Orange County Members to include them in Alliance’s Provider Network. Alliance will also honor all services that have already been authorized, a Member’s annual plan, and other existing documentation and care decisions to help ensure a smooth transition and prevent any disruption in services.

Do I have to do anything?

No. If you are currently receiving mental health, substance use disorder or intellectual/ developmental disability services through Cardinal, you will be automatically enrolled with Alliance when the realignment is approved by NC DHHS.

What if I have other questions?

You can visit the Orange County website at www.orangecountync.gov/2634/LMEMCO-Disengagement the Alliance Health website at https://www.alliancehealthplan.org/about-alliance/orange-county-lme-mco-disengagement/ for the latest information.

FAQs for Providers

What is this all about?

On November 5, 2020, the Orange County Board of Commissioners voted to make a change in which of North Carolina’s Local Management Entity/Managed Care Organizations (LME/MCOs) has responsibility for managing behavioral health and intellectual/developmental disability services for its citizens who are insured by Medicaid or who have no health insurance. This process is called “disengagement” or “realignment.” In this case, that responsibility would transition from Cardinal Innovations Healthcare to Alliance Health. On February 16, 2021, the Commissioners unanimously approved a Disengagement Plan to make this change.

More information about this realignment process is available on the Orange County website at www.orangecountync.gov/2634/LMEMCO-Disengagement the Alliance Health website at https://www.alliancehealthplan.org/about-alliance/orange-county-lme-mco-disengagement/.

When will this realignment take place?

We expect that Alliance will begin managing these services for Orange County citizens on January 1, 2022. First, Orange County must complete a Planning Phase and get the approval of the Secretary of the North Carolina Department of Health and Human Services (NC DHHS) for this realignment. This Planning Phase will take at least six months. Once the change is approved, it will take another four months go make all the preparations necessary for Alliance to begin serving the people of Orange County.

Will my agency be impacted?

Providers will not be impacted until the Implementation Phase. We anticipate that this Implementation Phase will begin in late summer of 2021. At that point, providers that serve or wish to serve citizens in Orange County who have Medicaid or have no health insurance, and who receive mental health, substance use disorder or intellectual and developmental disabilities services may be impacted upon approval of the County’s realignment by NC DHHS.

Will Members who currently receive services in Orange County that are managed by Cardinal be able to keep the same service provider?

Yes. Alliance will work with providers currently serving Orange County Members to include them in Alliance’s Provider Network. Alliance will also honor all services that have already been authorized, a Member’s annual plan, and other existing documentation and care decisions to help ensure a smooth transition and prevent any disruption in services.

What if I have other questions?

You can visit the Orange County website at www.orangecountync.gov/2634/LMEMCO-Disengagement the Alliance Health website at https://www.alliancehealthplan.org/about-alliance/orange-county-lme-mco-disengagement/ for the latest information.