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NC Medicaid has changed the start date for Tailored Plans to October 1, 2023. Until then people will keep getting services the way they do now.

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Recruiting Physical Health Care Providers

Alliance Health is a managed care organization operating one of North Carolina’s Behavioral Health and Intellectual/Developmental Disabilities (BH I/DD) Tailored Plans.

About Alliance Health

Starting April 1, 2023, Alliance will be responsible for managing the total health care needs - including medical care - of children and adults with serious mental illness, substance use disorders and intellectual and developmental disabilities, as well as adults served under our Traumatic Brain Injury waiver.

Alliance will manage services for people who are insured by Medicaid under the Tailored Plan within the following counties:

  • Cumberland
  • Durham
  • Johnston
  • Mecklenburg
  • Orange
  • Wake

    Interested in Contracting with Alliance Health?

    Submit the form below and a team member will follow up by phone to answer questions, discuss next steps, and begin the contracting process.

    Alliance has earned Full Medicaid Managed Behavioral Health Organization Accreditation with a Long-Term Services and Supports Distinction from the National Committee for Quality Assurance (NCQA). Full accreditation is granted for a period of three years to those plans that have excellent programs for continuous quality improvement and meeting NCQA’s rigorous standards.
    Why join us?
    • Continue to serve and be reimbursed for your patients that will be managed by Alliance Health
    • Dedicated provider support team – single point of contact to assist with contracting, system navigation and troubleshooting
    • Easy access to practice supports including behavioral health education, training, toolkits, consultation and information about community resources
    • Every member of the Alliance Health Plan will have a dedicated care navigator
    • Your opportunity to take an active role in reshaping health care delivery to a population with very complex needs
    Tailored Plans
    In North Carolina, Tailored Plans are integrated health plans designed for:
    • People with significant behavioral health (mental health and substance use disorders) needs
    • People with intellectual/developmental disabilities (I/DDs)
    • Other special populations, including Innovations and Traumatic Brain Injury (TBI) waiver enrollees
    • Non-Medicaid behavioral health, intellectual/developmental disabilities, and TBI services for uninsured and underinsured North Carolinians

    Some benefits are available only by enrolling in the Alliance Health Tailored Plan.
    These may include:

    • Tailored Care Management that is provided by behavioral health agencies and Advanced Medical Homes that have been certified by the Department of Health and Human Services, and by Alliance care managers
    • Enhanced mental health services including intensive substance use disorder outpatient services
    • Home and community-based waivers, like the TBI and Innovations waivers
    • Special residential treatment programs for children
    • Intermediate Care Facilities for individuals with intellectual and developmental disabilities
    • Specialized services for the uninsured and underinsured with mental health, intellectual/developmental disabilities, and substance use disorder support needs
    The Kind of Care Alliance Manages

    Tailored Plans are intended to address all of the care needs of its members. Alliance manages the following categories of care:

    • Behavioral health care (mental health and substance use disorders)
    • Intellectual/developmental disabilities Traumatic brain injury
    • Physical health care
    • Pharmacy services
    • Other needs that affect a person’s well-being, like safe housing and enough food

      Interested in Contracting with Alliance Health?

      Submit the form below and a team member will follow up by phone to answer questions, discuss next steps, and begin the contracting process.