Welcome to the Alliance Provider Network
It is Alliance’s goal to manage a comprehensive provider network that is integrated and responsive. We seek to maintain an environment in which providers can be successful both clinically and financially.
Alliance has an array of providers ranging the service continuum from outpatient therapy to inpatient hospitalization. Alliance is committed to flexible, accessible, family-centered services which honor the dignity, respect the rights, and maximize the potential of the individual.
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. Alliance is committed to communicate through a variety of means in an effort to keep the community of network providers well informed of state and federal changes, new information, trainings, requests for proposals and opportunities for collaboration.
We thank you for your participation in our network, and look forward to a long and rewarding partnership as we work together to provide quality treatment to the individuals we all serve.
Program Resources
This page highlights housing, medical and pharmaceutical, and other program resources.
Request a Letter of Support
In general, for Alliance to issue a letter of support, the requesting organization must be in good standing with Alliance, other LME/MCOs, and State and federal oversight agencies.
Related Documents
TBI Fee Schedule February 2020
Network & Operations
TBI Fee Schedule February 2020
TBI Fee Schedule February 2020
Provider Payment Election Form
Compliance
Provider Payment Election Form
Election form for return of provider overpayments
Provider Self Audit Submission Instructions
Compliance
Provider Self Audit Submission Instructions
Process for Overpayments exceeding $10,000 being refunded by check
Healthcare Fraud Bulletin: Fraudulent Application by Provider
Compliance
Healthcare Fraud Bulletin: Fraudulent Application by Provider
Medicaid providers must not make false statements or false representations of material facts.
Provider Request for Appeal of an Action Form
Compliance
Provider Request for Appeal of an Action Form
Provider Request for Reconsideration of an Action Form
