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NC Medicaid Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans (Tailored Plans) will launch July 1, 2024.

Effective February 1, 2024, citizens of Harnett County are being served by Alliance Health. Access more information for health plan participants or for providers.

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Transitions to Community Living

Access to decent, safe, affordable housing and caring supportive services provides critical stability for individuals and families. Alliance is committed to a focus on effective, efficient solutions to increase quality, affordable housing capacity, and options for persons with behavioral health issues.

brown brick house

Alliance Health is the managed care organization for public behavioral healthcare services in Cumberland, Durham, Harnett, Johnston, Mecklenburg, Orange and Wake counties. We help our members find apartments with property owners throughout the counties we serve. Our team coordinates highly effective, community-based support to improve peoples’ health and well-being. We manage diverse partnerships with qualified local providers to help residents thrive in housing.

Alliance believes that access to decent, safe, affordable housing and caring supportive services provides critical stability for individuals and families. Working collaboratively with its public, private and nonprofit partners, Alliance is committed to a focus on effective, efficient solutions to increase quality, affordable housing capacity and options for persons with behavioral health issues.

We administer the Transition to Community Living voucher as part of a statewide rental assistance program called the Transition to Community Living (TCL). The voucher provides a rental subsidy to access quality affordable housing to members in our six-county region. Alliance members choose their own apartments and neighborhoods.

What is Transitions to Community Living (TCL)?

The Transitions to Community Living initiative has its roots in the 1999 Supreme Court ruling relating to Title II of the Americans with Disabilities Act (ADA), also known as the Olmstead decision, which prohibited the unjustified segregation of individuals with disabilities. The U.S. Department of Justice (DOJ) found many individuals with SPMI in North Carolina were living in adult care homes and state psychiatric facilities – living situations that violated the requirements under the Olmstead decision.

This means:

  • Individual choice is valued and supported
  • Individuals should be given the option to live in the least restrictive setting
  • An individual’s community of choice should support integration and not limit access to neighborhood resources

Our role at is to inform eligible individuals about the opportunities available provided by the Olmstead Settlement Agreement between the state of North Carolina and the United States Department of Justice and initiate the transition process. A transition coordinator will then work with them to identify and secure housing.

Alliance will help the individual with initial housing setup and move-in costs and provide ongoing rental assistance and continued tenancy support services. Alliance will also help the individual find and keep employment. Access to healthcare services will also be provided.

Referral Screening Verification Process (RSVP)

RSVP has replaced ACH Pre-Admission Screening and Resident Review.

Under Medicaid clinical policy, all Medicaid beneficiaries who are referred to or seeking admission to adult care homes licensed under NC General Statute (G.S.) 131D-2.4 must be screened through the Referral Screening Verification Process (RSVP) to determine whether the individual has SMI or SPMI. Adult care home providers licensed under G.S. 131D-2.4 will not receive prior approval to bill for State Plan Personal Care Services without verification of a referral screening ID.

LME/MCOs or their contracted entities will be responsible for completing the screening verification process. The referral will be sent to the LME/MCOs for verification of whether an individual has an SMI or SPMI as well as verification of the individual’s Medicaid/financial eligibility in order to determine eligibility for TCL.

Our Work With Landlords

Alliance partners with landlords and property managers across the region to help ensure that sufficient housing is available for the individuals who participate in our housing programs. Learn more about risk mitigation measures we offer and other landlord resources.

Transition to Community Living Local Barriers Committee (TCL LBC)

Alliance is committed to ensuring that TCL members continue to have access to housing options, permanent supportive housing, services and supports. Alliance continues to work on identifying areas of need and how to address these needs for these members. The Alliance TCL LBC is a mechanism for all members, providers, stakeholders and internal staff to bring forward areas of concerns regarding any process relating to TCL. This process will include problem solving internally at the LBC level, and escalation to the state Barriers Committee in order to develop new processes to maximize the outcomes for TCL members and identify any trends in needs. All TCL barriers should be submitted via the TCL barriers form.

Additional Resources

This page was last reviewed for accuracy on 07/06/2021