For Providers

Alliance frequently receives requests from providers for letters of support or letters of good standing concerning grant proposals, RFPs, special projects and/or applications for licensure of residential facilities. Please submit your request to [email protected].

  • Requests for letters of support for licensed facilities are not being accepted at this time. Based on current bed occupancy data for Durham, Wake, Cumberland and Johnston counties, Alliance is currently not providing letters of support for additional residential facilities. Requests for extension letters of support from providers who have not exercised their initial letter within the six-month deadline may be considered. Requests for letters of support for the purpose of changing the name in which an existing home is licensed are not required by DHSR.
  • Requests for letters of support for grants, RFPs or other special projects must be submitted to Alliance at least ten business days in advance to ensure sufficient time for review and processing, must include a description of the proposal with enough detail to enable Alliance to understand and respond to the request, and must demonstrate the capacity and ability to offer the proposed service(s) using best or evidence-based practices. Last minute requests will not be accommodated.

A request for a basic letter of good standing for insurance or other purposes must be submitted at least ten business days in advance to ensure sufficient time for review and processing.

In general, for Alliance to issue a letter of support, the requesting provider must be in good standing with Alliance, other LME/MCOs, and State and federal oversight agencies.

Please note that the issuance of a letter of support or a letter of good standing is not a guarantee or commitment of funding or a contract with Alliance.

For Hospitals

Alliance requires hospitals requesting letters of support to provide a brief summary that describes their current/ongoing or past efforts to support behavioral healthcare service delivery in the Alliance catchment area and previous relationships with Alliance.

The following will serve as criteria for Alliance to agree to provide a letter of support for hospitals going through the Certificate of Need (CON) process:

  • Priority is given to a currently contracted provider with Alliance.
  • There is a commitment to serve individuals with Medicaid and the uninsured.
  • There is a commitment to collaboration with Alliance around treatment and discharge planning.
  • There is a commitment to working with Alliance to establish and report quality metrics, as well as quality improvement initiatives for hospital-based services as indicated.
  • Addresses identified program/service needs for Alliance (e.g. services for children, trauma, intellectual and developmental disabilities, traumatic brain injury, substance use disorder, etc.)
  • There is clear support from community partners for the request (e.g. county government).

To request a letter of support, please email the summary that addresses each of the criteria to [email protected].

Alliance frequently receives requests from providers for letters of support or letters of good standing concerning grant proposals, RFPs, special projects and/or applications for licensure of residential facilities. Please submit your request to [email protected].

  • Requests for letters of support for licensed facilities are not being accepted at this time. Based on current bed occupancy data for Durham, Wake, Cumberland and Johnston counties, Alliance is currently not providing letters of support for additional residential facilities. Requests for extension letters of support from providers who have not exercised their initial letter within the six-month deadline may be considered. Requests for letters of support for the purpose of changing the name in which an existing home is licensed are not required by DHSR.
  • Requests for letters of support for grants, RFPs or other special projects must be submitted to Alliance at least ten business days in advance to ensure sufficient time for review and processing, must include a description of the proposal with enough detail to enable Alliance to understand and respond to the request, and must demonstrate the capacity and ability to offer the proposed service(s) using best or evidence-based practices. Last minute requests will not be accommodated.

A request for a basic letter of good standing for insurance or other purposes must be submitted at least ten business days in advance to ensure sufficient time for review and processing.

In general, for Alliance to issue a letter of support, the requesting provider must be in good standing with Alliance, other LME/MCOs, and State and federal oversight agencies.

Please note that the issuance of a letter of support or a letter of good standing is not a guarantee or commitment of funding or a contract with Alliance.



Page last modified: April 16, 2020