Provider Updates

Alliance Health is offering two training sessions designed to review recent enhancements to the reporting processes for Innovations Waiver Back-Up Staffing (BUS) and Community Living and Supports (CLS) Utilization. These sessions will provide an overview of the rationale behind the enhancements, as...

Alliance Health has published a new clinical coverage policy to the website. CCP-106 Enhanced Residential Support Level 4 outlines the general principles that Alliance Health Plan (Alliance) will use to make service request determinations for Enhanced Residential Supports Level 4 services.

Effective July 1, 2026, NC-TOPPS will implement updates that include modifications to existing questions as well as the addition of new questions and services within the NC-TOPPS interviews. If you are using printed copies of the interviews or manual, please ensure you reference the most current...

Two clinical coverage policies have been updated on the Alliance Health website: CCP-100-Experimental-and-Investigational-Services CCP-101-Benefit-Exhaustion  

Alliance  Health experienced an internal system issue during payment processing on June 15, 2026, which impacted the timely distribution of certain payment-related communications. As a result: Some weekly payment notifications were not sent as scheduled. There will be a delay in the...

North Carolina clinicians should be aware of the increasing detection of medetomidine, a potent veterinary sedative, and cychlorphine, a highly potent synthetic opioid, in the illicit opioid supply. Both substances have recently been identified in fentanyl and polysubstance drug samples across the...

Alliance Health offers an e-learning session to support providers with enrollment and claims processes. Claims and Enrollment Overview The e-Learning session is offered by the Claims and Enrollment departments. This session covers essential information from the Claims and Enrollment Guide,...

Alliance Health offers an e-learning session to support providers with enrollment and claims processes. Claims and Enrollment Overview The e-Learning session is offered by the Claims and Enrollment departments. This session covers essential information from the Claims and Enrollment Guide,...

Alliance Health is offering two valuable weekly sessions to support providers with enrollment and claims processes: Claims and Enrollment Overview Presented by the Claims and Enrollment departments, this session covers essential information from the Claims and Enrollment Guide, including the...