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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!

Beginning on December 1, 2021, Alliance Health will be 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

Virtual Town Hall Meeting, Wednesday, November 17, 6:00 p.m.
Mecklenburg County residents, health care providers, and other stakeholders will have an opportunity to learn more and ask questions about the County’s realignment with Alliance Health to manage behavioral health and intellectual/developmental disability services. The public can participate via Webex here or by calling 408-418-9388 and entering access code 2348 007 4453. Chrome or Safari is recommended for those joining Webex with a browser. Get more details about the meeting.

Provider Orientation Session – November 17, 2:30-4:30 p.m.
Alliance will host a virtual provider orientation with representatives from the Alliance Provider Network, Access, UM, and Claims departments, who will provide information to help orient Mecklenburg and Orange county providers to Alliance Health. Please register in advance. After registering, you will receive a confirmation email containing information about joining the meeting.

First Alliance CARES Event – Early December
As it’s first Alliance CARES  (Community Awareness Resource, Education and Service) event in Mecklenburg County, Alliance staff will be filling bags with winter supplies for people who are living outside – an increase in over 55% the last couple of years – to be delivered by our street outreach team to the encampments where many homeless people gather. Alliance CARES is an employee campaign to engage employees around the social drivers of health. The social drivers of health are the conditions in which people are born, grow, work, live and age and the wider set of forces and systems shaping the conditions of daily life.

For ‘Em (Forum) on the Hill Community Conversation – December 6-10, 4:00-6:00 p.m.
Alliance will sponsor this week of programming on 97.9 WCHL in Orange County designed to create community-wide awareness of issues affecting the area. Topics include health and wellness, public safety and social justice, housing, and K-12 education. Alliance Chief Medical Officer Mehul Mankad, M.D. will serve as a panelist. Broadcasts will be streamed live on and the Tune In app.

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