Skip to main content

There are Federal changes to Medicaid and new laws are changing the rules for NC Medicaid. Some people with Medicaid will have to follow new rules to keep their coverage. For more information, visit Medicaid is Changing | NC Medicaid. Access an NCDHHS toolkit of materials helpful in sharing this information.

Effective July 1, 2026, WakeMed is no longer in Alliance’s network for Tailored Plan services. Services provided by WakeMed after this date may be treated as out-of-network. Get full details here.

Provider Central Search

Use the search function below to search Provider Central

Provider Updates

These updates support providers by highlighting new classes, trainings, resources, chats, procedures, and programs. You will also find advice and guidance for providers. Subscribe to updates or See Alliance News

Left Arrow Icon Back to Provider Updates

05/14/2026

Update Prior Auth Turnaround Time to 7 Days starting June 1, 2026

In preparation to meet the National Committee Quality Assurance (NCQA) Standard of 7 calendar day Turnaround Time (TAT) for standard/routine requests, the Jiva portal will be modified to reflect due dates 7 calendar days from date of submission beginning June 1, 2026.

Episodes submitted prior to this date will continue to show the due dates 14 calendar days from date of submission for standard/routine requests. Providers are advised that with shortened timeframes for completion of medical necessity reviews, it will be important to ensure that all necessary and pertinent clinical information/documentation is submitted with prior authorization requests.

Latest Provider Updates