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How and Why Alliance is Changing Care Coordination

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

Page last modified: May 28, 2019