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.
Providers can find resources on this page to help ensure that they are successful, effective, compliant members of the Alliance network.
Alliance Behavioral Health Clinical Guidelines
Alliance’s approved Clinical Practice Guidelines and Psychological Testing Guidelines document what is known and what is not known about a condition or disorder for the treatment of patients with the ultimate goal of improving care.
Healthcare Effectiveness Data and Information Set (HEDIS)
HEDIS is used by more than 90 percent of America’s health plans to measure performance on important dimensions of care and service.
Quality Management and Incident Reporting
The Alliance Quality Management Department develops and implements a quality management system including data management and reporting that is integrated philosophically throughout the organization to ensures a quality experience for each member.
Back-up Staffing and Community Living and Supports (CLS) Utilization Reporting Guidelines
This page has guidelines for back up staffing and CLS utilization reporting.
Provider Insurance Requirements
This page details the minimum coverage a provider must purchase and maintain.
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Alliance Health Tailored Plan launched on July 1
If you have questions about seeing your providers or accessing services, please call Member and Recipient Services at 800-510-9132 for assistance.