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.

Learn more about how Alliance is using technology to make prior authorizations more efficient per the CMS-0057-F rule.

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Tailored Plan Provider Contract Templates

Tailored Plan contract templates for Medicaid services and state-funded services can be accessed on this page.

<a target="_blank" href="https://www.alliancehealthplan.org/document-library/72141">Download Tailored Plan Medicaid Provider Contract Template</a>

<a target="_blank" href="https://www.alliancehealthplan.org/document-library/72144">Download TP State Funded Provider Contract Template</a>

<a target="_blank" href="https://www.alliancehealthplan.org/document-library/77447">Download Alliance Health Medicaid Direct Provider Contract Template</a>

<a target="_blank" href="https://www.alliancehealthplan.org/document-library/77452">Download Alliance Health Tailored Plan and Medicaid Direct Provider Contract Amendment</a>

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Tailored Plan Provider Contract Templates

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