Provider Monitoring
LME/MCOs are required to monitor public mental health, intellectual/developmental disability and substance abuse services. Types of monitoring include routine monitoring utilizing the State-mandated DHHS North Carolina Monitoring Process for LME/MCOs, and targeted monitoring to address grievances, complaints or quality of care concerns.
Alliance 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.
Licensed Independent Practitioners Compliance Requirements
This page provides links to external resources and sample forms and other information. All forms need to be adapted to reflect the nuances of your practice.
