NCDHHS has posted a webpage full of information that providers need to know about Federal Medicaid changes that can affect the Medicaid eligibility of their patients, including resources providers can use to help their patients be aware of these changes.

Effective September 29, 2026, WakeMed, WakeMed Specialists Group, LLC, and Wake Specialty Physicians, LLC have resumed providing certain services to Alliance Health Tailored Plan members. Get full details here.

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Billing and Claims

This page provides a variety of general information related to the submission of claims and the reimbursement for services.

Alliance is committed to ensuring that network providers are aware of the information necessary to provide care to individuals served by Alliance and are able to comply with Alliance’s requirements. Below is general information related to the submission of claims and the reimbursement for services.

Feel free to contact Claims@AllianceHealthPlan.org if you have additional questions or concerns.

Claims Information and Rate Sheets

On this page, you’ll find a variety of information and resources to assist you in the claims preparation and submission process, including instruction manuals and Alliance Medicaid and non-Medicaid rate sheets.

Out-of-Network Authorizations for Behavioral Health

Alliance makes every effort to first link consumers with network providers, but will consider enrolling an out-of-network provider if a network provider is not available or accessible to the enrollee.

Invoice and Travel Reimbursements

Invoices must be submitted on the most current fiscal year Invoice Template, exclude sales tax paid, and include supporting documentation.

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