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Mecklenburg & Orange Realignment

This page welcomes transitioning members from realigning counties and provides information about community information events.

Welcome to Alliance Health!

Effective December 1, 2021, Alliance Health is the manager of mental health, substance use disorder, and intellectual or developmental disability services for people in Mecklenburg and Orange counties who are insured by  Medicaid or have no health insurance.

We’re already on the ground listening to community leaders and people across your counties to learn how we can work together to manage quality care that helps people thrive and live their best lives. Our goal is to empower communities and partner for healthier lives.

We’re proud to be part of your communities!

Access the Welcome Packet coming in the mail to new Mecklenburg and Orange county members.

Community Events

Consumer and Family Advisory Committee (CFAC) informational meetings have been scheduled for Mecklenburg and Orange Counties:

Mecklenburg County Realignment Process

Mecklenburg County’s request to disengage with Cardinal Innovations and align with Alliance Health as its Local Management Entity/Managed Care Organization (LME/MCO) was approved by the N.C. Department of Health and Human Services (NCDHHS). Mecklenburg County’s transition to Alliance will occur on December 15, 2021, according to a timetable established by NCDHHS. View a press release issued by Mecklenburg County.

The County’s documents pertaining to the disengagement/realignment process can be accessed using the links below:

Disengagement/Realignment Plan
Letter of Intent
Mecklenburg County Resolution
Statutory References
October 2020 Letter to NCDHHS Secretary Cohen
February 2021 Letter to NCDHHS Secretary Cohen

Information for Cardinal Providers affected by realignment

More information is available on the Mecklenburg County website.

Orange County Realignment Process

Orange County’s request to disengage with Cardinal Innovations and align with Alliance Health as its Local Management Entity/Managed Care Organization (LME/MCO) was approved by the NC Department of Health and Human  Services (NCDHHS). Orange County’s transition to Alliance will occur by December 15, 2021, according to a timetable established by NCDHHS.

Prior to the NCDHHS decision, on November 5, 2020, the Orange County Board of County Commissioners (BOCC) approved moving forward with disengagement from Cardinal and joining Alliance Health. After a lengthy public process to allow for feedback and input from community stakeholders and clients, the BOCC voted to align with Alliance Health.

More information is available on the Orange County website.

This page was last reviewed for accuracy on 11/05/2021