Alliance CEO Rob Robinson made a presentation on behavioral health urgent care today at the ACAP CEO Summit in Washington, D.C. ACAP is the Association of Community-Affiliated Programs, comprised of health plans across the country that cover more than 20 million people through Medicaid, Medicare, Health Insurance Marketplaces, the Children’s Health Insurance Program and other publicly-supported government programs. Alliance is a leader in North Carolina in implementing the behavioral health urgent care model to provide rapid access to care for people in crisis. Click here to access Mr. Robinson’s presentation slides.
The Early Summer 2019 edition of the Alliance InTouch newsletter for Alliance employees, friends and community members is now available! Stay “in touch” with what is going on at Alliance and the important work we do to deliver the best care to the people we serve.
Between now and the end of this year Alliance will be making changes in how care coordination is offered to the people we serve. We are doing this to prepare ourselves for the new way we will be managing care for our members in the future as a result of how Medicaid is changing in North Carolina. Beginning in 2021 Alliance expects to begin operating what is called a Tailored Plan, managing comprehensive whole-person care – that is, physical and behavioral healthcare, plus pharmacy services – to people with more severe mental illnesses, those with a substance use disorder, and those with long-term care needs, including those with an intellectual/developmental disability or traumatic brain injury. This is why Alliance is moving now to a model of care coordination that brings together a diverse team of professionals to better meet the complex and diverse needs of our members. Access a recording of a listening session held on May 21.
The Crisis and Assessment Center at 1724 Roxie Avenue in Fayetteville will continue to offer screening, triage and referral services to citizens of Cumberland County who arrive at the crisis facility during the upcoming transition in facility providers.
Current facility operator Cape Fear Valley Health will provide screening and referral services Monday-Fridays from 8:00am-10:00pm and on weekends from 8:00am-5:00pm. The center has discontinued detoxification and short-term stabilization services and will coordinate and refer to outpatient providers in the community as well as facilitate treatment in the health system as indicated and appropriate. As always, individuals experiencing a life-threatening emergency should call 911 or go to a hospital emergency department.
RI International, the new provider recently chosen to assume crisis services at the Roxie Avenue facility, is scheduled to begin operations on August 1, but Alliance is working with RI to accelerate this timeline.
Those experiencing a behavioral health crisis that is not life threatening should call the Alliance Access and Information Center at (800) 510-9132. Alliance clinicians are available 24/7 to assist individuals in determining what to do next. Options include dispatching a mobile crisis team directly to the individual’s home or other location or sending them to the ED for assessment and other needed crisis services.
Alternately, individuals in crisis can contact the Cape Fear Valley Community Mental Health Center outpatient clinic at (910) 615-3333 to schedule an appointment. The clinic hours are Monday-Wednesdays from 8:00am-5:00pm, Thursdays from 8:00am-7:00pm, and Fridays from 8:00am-1:00pm. The clinic is located at 711 Executive Place in Fayetteville.
Additionally, Carolina Outreach will provide behavioral health urgent care services beginning May 6 at their office on 911 Hay Street in Fayetteville. These services are in addition to their outpatient mental health and substance used disorder treatment services provided at this location. The behavioral health urgent care services will be available on Mondays, Tuesdays and Thursdays from 3:00-7:00pm. Individuals can receive an assessment, access to a psychiatrist and needed medications, and case management to ensure linkage to necessary follow up services, all in one visit.
Carolina Outreach also offers walk-in assessment hours on Mondays from 1:00-4:00pm and Wednesdays from 8:00-10:00am and beginning May 11, on Saturdays from 9:00am-noon.
Alliance Health is committed to offering a comprehensive array of crisis services to the citizens of Cumberland County, and will continue to work with Cape Fear Valley to ensure that the needs of the community are met during the transition of crisis services to RI International.
A public hearing on Alliance Health’s proposed FY20 budget will be held on Thursday, June 6 at 4:00pm at 5200 W. Perimeter Parkway, Suite 200, Morrisville, NC. Persons wishing to speak at the hearing must sign up to do so prior to the start of the meeting.
As part of its ongoing commitment to ensuring 24/7 access to high-quality behavioral health crisis assessment and intervention services, Alliance Health has chosen a new provider of these services in Cumberland County. After a competitive bidding process, RI International was selected to assume operations of the Alliance Crisis and Assessment Center located at 1724 Roxie Avenue in Fayetteville.
RI International, a national leader in developing and providing recovery-oriented behavioral health and substance use disorder crisis services, has been operating crisis assessment and stabilization services since 1990 and currently operates state of the art crisis programs across four states. This includes the Recovery Response Centers in Henderson and Jacksonville as well as the Durham Recovery Response Center, which serves as the Alliance Crisis and Assessment Center in that community.
According to David Covington, CEO and president of RI International, their NC-based facilities serve thousands of people in psychiatric distress each year through a program designed to maximize successful return to the community and defer hundreds of avoidable visits to hospital emergency departments. “We aim to ensure that anyone in crisis has access to a safe, supportive environment staffed with behavioral health professionals, helping people navigate their most challenging times.”
Like the Durham facility, the facility on Roxie Avenue will provide crisis services employing the peer-operated “living room model” and will be available to receive individuals who walk in seeking crisis assistance as well as those brought in under involuntary commitment orders. In addition to crisis assessment services, it will offer 23-hour observation, detoxification, and short-term crisis stabilization services delivered by a team of peer support specialists, and medical, behavioral and substance use disorder treatment professionals.
“I applaud the selection of RI International to provide 24/7 crisis services in Cumberland County,” said Alliance Board member Chris Bostock of Fayetteville. “In addition to their national reputation and long history in this field, their “no wrong door approach” will help ensure that our local law enforcement officers have a single destination to bring people who are experiencing a crisis. Our local residents will have access to state of the art crisis assessment, detoxification and behavioral health stabilization services.”
Alliance’s Crisis and Assessment Center in Cumberland County has been operated since 2013 by Cape Fear Valley Medical Center. The target date for RI to assume operations is August of this year and Alliance has already begun to collaborate with Cape Fear Valley and RI to plan and execute a smooth transition for the individuals that count on the Roxie Avenue facility for crisis services.
“Alliance Health is excited about the comprehensive array of recovery-based crisis services that RI will provide to the Cumberland community,” said Alliance CEO Rob Robinson. “We are grateful to Cape Fear Valley for their contributions to serving individuals with mental health and substance use disorders since 2013 and for their commitment to ensuring a smooth transition to RI.”
Between now and the end of this year Alliance will be making some changes in how care coordination is offered to the people we serve. We are doing this to prepare ourselves for the new way we will be managing care for our members in the future as a result of how Medicaid is changing in North Carolina.
Beginning in 2021 Alliance expects to begin operating what is called a Tailored Plan. In that role Alliance will be managing comprehensive whole-person care – that is, physical and behavioral healthcare, plus pharmacy services – to people with more severe mental illnesses, those with a substance use disorder, and those with long-term care needs, including those with an intellectual/developmental disability or traumatic brain injury.
This is why Alliance is moving now to a model of care coordination that brings together a diverse team of professionals to better meet the complex and diverse needs of our members. How’s a bit about how it will work:
Each member’s Care Team will be led by a Care Navigator who will be the point of contact for that member and his or her family. Based on a careful review of a member’s specific needs, a Care Team will be formed that may include nurses, a pharmacist, community health workers, senior clinicians, and others.
This Care Team approach will begin to take effect for members with an intellectual/developmental disability on July 1 of this year, and between July and December of this year for members with a mental illness or substance use disorder.
Before members see any changes, Alliance will be holding a series of listening sessions in the communities we serve to tell you more, and to hear and respond to any questions and concerns.
We hope to see you at one of these sessions.
Monday, May 13, 6:00-7:30pm
Alliance Cumberland Community Office
711 Executive Place, Fayetteville
Thursday, May 16, 6:00-7:30pm
Johnston Medical Mall
521 N. Brightleaf Boulevard, Smithfield
Tuesday, May 21, 6:00-7:30pm
Alliance Home Office
5200 Paramount Parkway, Suite 200, Morrisville
Access a recording of this session
The Spring 2019 edition of the Alliance InTouch newsletter for Alliance employees, friends and community members is now available! Stay “in touch” with what is going on at Alliance and the important work we do to deliver the best care to the people we serve.
(Raleigh, NC) – Alliance Health, in collaboration with Wake County, has developed and opened a new service in Raleigh to help people who are experiencing a behavioral health crisis. Much like the physical health urgent care facilities that are becoming common in our communities, a behavioral health urgent care center provides rapid assessment of an individual’s situation, routine intervention, and referrals for follow up services.
The goal of behavioral health urgent care centers is to provide a community-based option to stabilize individuals experiencing behavioral health crises in a way that reduces unnecessary trips to the emergency room, hospitalizations, and even incarcerations.
This service targets people living in Wake, Durham, Cumberland and Johnston counties who have Medicaid or no insurance. Individuals with private insurance and those who do not qualify for other public funding will pay an out-of-pocket fee.
The new center in Raleigh, located at 319 Chapanoke Road. Suite 120, is open for adults and children Monday-Thursday from 8 am to 8 pm, on Fridays from 8 am to 3 pm and on Saturdays from 8 am to 1 pm. It is operated by Monarch, a member of the Alliance Provider Network that also offers a variety of other behavioral health services at locations across the state.
“Those in need of mental health support often wait weeks for an appointment. The Behavioral Health Urgent Care will offer same-day service and will assist people who are in a crisis to get the critical mental health and substance use disorder services that most likely are unavailable or not easily accessible,” said Monarch’s Vice President of Operations for Outpatient Services Robin Henderson-Wiley. “This facility is the collaboration of so many amazing partners, like Alliance Health and Wake County, and is one example of how a community can work together to provide the necessary care for people with very complex needs.”
Visitors to urgent care have access to psychiatrists, nurses, social workers, and other clinical staff in a safe, respectful environment. Center staff see people in a variety of situations, including people who need a medication refill to remain stable but face a wait to see their regular provider, people in acute psychological distress, and people seeking urgent assistance with a substance use disorder. It can also be used by school staff to get quick help for youth in distress, and by parents who are required to get psychiatric assessments for children before they are allowed back in school but face a long wait for an appointment at a traditional mental health practice.
A visit to the center averages about two hours, and begins with a nursing assessment and a drug and alcohol screening to assess whether an individual is physically stable, followed by a crisis assessment to determine what services are appropriate. Staff also conduct an assessment of social determinants, such as housing, food security and social support, to determine whether an individual needs to be connected with other services to maintain stability.
Alliance opened a similar urgent care center in Durham in summer 2017. It served more than 1300 people last year, with 90% seeing a physician/prescriber on the same day. Only 6% of individuals with Medicaid seen at the Durham center had an emergency department visit in the following 30 days.
“Alliance is committed to giving people access to services when they need it and in the most appropriate settings,” said Dr. Margaret Brunson, Alliance Director of Hospital Relations. “The behavioral health urgent care is an innovative way to de-escalate crises, address social needs, and prevent unnecessary use of higher levels of care.
This level of care is not suited for drug/alcohol detoxification, people with urgent medical needs, or when it is clear that hospitalization is required. In those cases, a hospital or one of Alliance’s Crisis and Assessment Centers is more appropriate. Locations of these facilities are available on the Alliance website at AllianceHealthPlan.org. Alliance also provides an Access and Information Line staffed by clinicians 24/7 at (800) 510-9132.
About Alliance Health
Alliance Health is the managed care organization for publicly-funded behavioral healthcare services for the people of Durham, Wake, Cumberland and Johnston counties. Alliance works with a network of almost 2200 private providers to serve the needs of 471,000 Medicaid-eligible and uninsured individuals within a total population of 1.8 million.
The February 2019 edition of the Alliance InTouch newsletter for Alliance employees, friends and community members is now available! Stay “in touch” with what is going on at Alliance and the important work we do to deliver the best care to the people we serve.
Access and Information Center:
We want to make it easy for you to get the services or information you need. You can call the Alliance Access and Information Center toll-free 24 hours a day.
Representatives are available 8:30am-5:15pm Monday-Friday to answer provider questions about authorization, billing, claims, enrollment and credentialing, the Alpha Provider Portal or other issues.
Confidential Fraud and Abuse Line:
You are encouraged to report matters involving Medicaid fraud and abuse. If you want to report fraud or abuse, you can remain anonymous. Learn more.
Alliance maintains community offices in Durham, Wake, Cumberland and Johnston counties. Addresses and directions to the Alliance offices.