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There are Federal changes to Medicaid and new laws are changing the rules for NC Medicaid. Some people with Medicaid will have to follow new rules to keep their coverage. For more information, visit Medicaid is Changing | NC Medicaid.

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Appeals and Complaints Overview

At Alliance Health, our goal is to make every experience with us a successful one. If you have concerns, here are ways you can express them.

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Appeals Policies and Processes

Members have the right to appeal an Alliance decision. Call Alliance at 919-651-8641 if you need help with your appeal request.

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Complaints Policies and Processes

We hope our health plan serves you well. If you are unhappy or have a complaint, you may talk with your primary care provider, and you may call Member and Recipient Services at 800-510-9132.

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State Non-Medicaid Appeal Panel

The state Non-Medicaid Appeal Panel will review your appeal request and will issue a decision on your service request. Alliance Health will make a final decision on your request that is informed by the state Non-Medicaid Appeal Panel decision. We will make a final decision within 10 days of the panel’s decision. Appeals are heard by a DMH/DD/SAS hearing officer at an Alliance Health office location. If you have questions about the state appeal process, please call DMH/DD/SAS at 984-236-5300.