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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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Online Forms

Quick links to fillable forms.

In an effort to reduce paperwork and make it easier for partners to submit required information, we are working to make certain required forms fillable online. Quicklinks will be added here as those forms become available.

  1. Trading Partner Agreement and Connectivity Form
  2. CFAC Membership Application Form
  3. Request to Add a Behavioral Health Clinician Form (Removed)
  4. Alliance Health Vendor Setup Packet
  5. Alliance Electronic Funds Transfer (EFT) Authorization Agreement and Change Form
    (Removed. Email vendorsetup@alliancehealthplan.org)