A virtual orientation for BH/I/DD providers intending to become Care Management Agencies will be held on September 22. Scroll down to learn more.

NC Department of Health and Human Services has recently announced that Mecklenburg and Orange counties will realign from Cardinal Innovations to Alliance Health, effective December 15, 2021. In order to ensure a smooth transition and prevent any disruption in services for members and providers, Alliance is opening its Network to providers that are currently serving Mecklenburg and Orange county residents, are in good standing with Cardinal and Alliance, and meet all the applicable state-imposed rules and requirements.

The first step in the contracting process is for providers to submit an applicable Enrollment Application Packet.

For providers that are not currently contracted with Alliance, please access the Mecklenburg and Orange Enrollment Application packet for non-contracted Alliance providers:

For providers that are currently contracted with Alliance please access the Mecklenburg and Orange Enrollment Application packet for contracted Alliance providers:

In order to ensure a contract is executed before the county realignment go-live date of December 15, 2021, please submit the applicable Enrollment Application Packet no later than September 30, 2021. This will ensure ample time for Alliance to process Applications in a timely manner and ensure that providers are able to continue to provide services when Alliance assumes responsibility for managing public behavioral health and intellectual/developmental disability (I/DD) services for Mecklenburg and Orange county residents on December 15, 2021.

Alliance will review completed Enrollment Application packets as they are received and may reach out to applicants if there is missing/additional information or documentation needed. We encourage providers to submit a fully completed Application packet with all the required attachments/documentation to facilitate the contracts in a timely manner. Alliance is committed to having provider contracts in place prior to the December 15, 2021 county realignment date.

HCBS information
Providers do not need to send approval letters, but are requested to send a spreadsheet of their HCBS sites.

Credentialing approval letters and Contracts
Based on recent communication from NCDHHS, Alliance will not need the copy of the credentialing letter nor the contract as part of the enrollment application.

Virtual Orientation for Mecklenburg and Orange County BH/I/DD Providers Intending to Become Care Management Agencies (CMAs)

Alliance Health has partnered with the McSilver Institute for Poverty Policy and Research to work with our providers to prepare for Provider Led Care Management and becoming a certified agency. A large part of the work has been offering agencies the opportunity to participate in a monthly learning collaborative where there is education, sharing, and exchange of information. These are dynamic sessions and attendees have found it helpful in planning and completing their applications to the state. Alliance is also offering our CMAs use of our Care Management Platform.

You are invited to a virtual orientation for Mecklenburg and Orange County provider agencies not already attending the Learning Collaborative, to find out more and to receive some of the information that has already been shared throughout the past months. The session will be led by McSilver Institute Staff and Alliance Leadership on Wednesday, September 22,  10-11 am. RSVP via email to [email protected] to receive the orientation session link. After orientation, you will receive a link to attend the next learning collaborative on September 23, 10–11:30 am.

Alliance Provider News Feed

Alliance is committed to ensuring that providers are aware of the information necessary to provide care to Alliance’s consumers and informed about any updates related to requirements and opportunities.

Alliance Health uses a news feed to update and communicate with providers. Providers are encouraged to sign up for the emails to ensure they receive prompt information. Sign up for our Provider News Service.

Where can I find how to contract with Alliance?

Alliance is requesting enrollment packets be completed and sent in by Sept 30. Packets can be found on our website at: https://www.alliancehealthplan.org/providers/credentialing-enrollment/contracting-information-for-cardinal-providers-during-realignment/.

There is one packet for providers that are not currently contracted with Alliance and another packet for providers that are currently contracted.

Do I need to go through credentialing?

No, you will not need to go thru the full credentialing process. There will be information that will be required for our enrollment verification and contracting process. Alliance will be using data from NCTracks and from Cardinal to fulfill credentialing need. Alliance has received provider site and service data that we will be using to confirm provider enrollment.

Does the Provider Self-Assessment need to be completed for each site?

No, if a provider has satellite facilities that follow the same policies and procedures as the provider, the organization may limit site visit requirements to a main facility.

Who can I contact regarding questions about the enrollment packet?

Please reach out to [email protected] with any questions. The Provider Network department will be hosting virtual enrollment packet technical assistance meetings- please monitor our website and provider news for the sign-up.

All of the supporting documents required for the enrollment make it likely to be over the allowed size for our outgoing e-mails. Is there any sort of portal that could be used to upload documents to avoid this issue?

We have just increased the file limits that can be sent within an email. If you anticipate your file will be larger than 75 MB, please email us at [email protected] to explore an alternate solution.

Can I add services/sites to my contract?

We are not currently adding additional services/sites. W are replicating your contract with Cardinal based on information that we are receiving from Cardinal. A network analysis will be completed and any opportunities will be identified via Provider News

When will I get my contract?

You will receive your Medicaid contract via DocuSign once we complete the required verifications and have received any other required contracting forms (i.e. EFT). Our contract department will reach out to obtain any additional contracting forms that will be needed.

We hope to have all contracts out no later than Dec 1 with a Dec 15 effective date.

Alliance is still awaiting state and non-UCR information from Cardinal. Once we receive that we will be working on those contracts.

When will information regarding rates be available?

Alliance is waiting for information regarding rates from Cardinal. Once that is received we will be reviewing and information will be sent out via Provider News. Our plan is to honor the rates currently paid by Cardinal.

How can I sign up for regular updates?

We recommend that all providers sign up for Provider News. This is the primary method through which we send out information to providers: https://alliancebhc.us3.list-manage.com/subscribe?u=5b13b3bfafc28a5fdf4a11dfc&id=bb4c4ac331.

How do I get HCBS approval verifications?

If you have the approval, please send with enrollment packet. If you do not and/or you have many sites, you can submit your site addresses and approval date on a spreadsheet.

Alliance is working with the state on finalizing the process for Alliance to obtain the HCBS verifications.

Will I have a network contact?

Once your enrollment gets approved you will receive notification of your assigned Provider Network Specialist and their contact information.

Will new provider orientation training be provided?

Yes. Alliance is developing the provider training specific to the Cardinal realignment in areas including:

  • UM.
  • Claims.
  • Monitoring.
  • Resources.

At this time the plan is to conduct virtual and web-based training vs. in-person due to COVID 19. These trainings will be announced in our Provider News and be placed on our provider training calendar: https://www.alliancehealthplan.org/calendar/.

Alliance has some differences in benefit plans (and codes). How is that being addressed?

Alliance is working with Cardinal to identify those differences and Alliance will be reviewing how to best address. Members will not go without services. Please monitor Provider News for most up-to-date information.

Can I start attending the Alliance All Provider Meeting?

Yes, we encourage providers to attend if they are able. This meeting is held virtually and the next meeting is Sept 22 from 1-3 pm. The link to register can be found here: https://www.alliancehealthplan.org/provider-news/all-provider-meeting/.

What is Alliance’s Claims and Authorizations system?

Alliance has a system called ACS. You will receive specific information on how to access the system once you are contracted.

Our agency is intending to become a Care Management Agency is there any guidance that Alliance can provide?

Alliance Health has partnered with the McSilver Institute for Poverty Policy and Research to work with our providers to prepare for provider led care management and becoming a certified agency. A large part of the work has been offering agencies the opportunity to participate in a monthly learning collaborative featuring education, sharing, and exchange of information. These are dynamic sessions and attendees have found it helpful in planning and completing their applications to the state. Alliance is also offering our CMAs use of our Care Management Platform.

You are invited to a virtual orientation for Mecklenburg and Orange County provider agencies not already attending the Learning Collaborative, to find out more and to receive some of the information that has already been shared throughout the past months. The session will be led by McSilver Institute staff and Alliance leadership on Wednesday, September 22, 10–11 am. RSVP via email to [email protected] to receive the orientation session link. After orientation, you will receive a link to attend the next learning collaborative on September 23, 10–11:30 am.