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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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Complaints Policies and Processes

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.

We hope we serve you well. If you are unhappy or have a complaint with any of your state-funded behavioral health, intellectual and developmental disability (I/DD) or traumatic brain
injury (TBI) state-funded services, case manager, Alliance Health or service provider, you may contact us by phone, mail or email:

Phone: Call Member and Recipient Services at 800-510-9132 Monday through Saturday, 7 a.m.–6 p.m. After these hours, you may leave a message.

Mail: You can write us with your complaint to:
Alliance Health
Grievance Department
Attn: Complaints and Grievances
5200 W. Paramount Parkway, Suite 200
Morrisville, NC 27560

Email: Complaints@AllianceHealthPlan.org

Contacting us with a complaint means that you are unhappy with Alliance Health, your provider or your services. Most problems like this can be solved right away. Whether we solve
your problem right away or need to do some work, we will record your call, your concern and our solution. We will inform you that we have received your complaint in writing. We will also
send you a written notice when we have finished working on your complaint.

You can ask a family member, a friend, your provider or a legal representative to help you with your complaint. If you need our help because of a hearing or vision impairment, or if you need
translation services or help filling out any forms, we can help you.

Resolving Your Complaint

We will let you know in writing that we got your complaint within five business days of receiving it. We will review your complaint and tell you how we resolved it in writing within 30
calendar days from receiving your complaint.

If you do not agree with our review, or if you want more information about our review, please call us at 1-800-510-9132. A member service representative is ready to help you. You can also file a complaint with the North Carolina Department of Health and Human Services (NC DHHS) by contacting the NC Medicaid Ombudsman. You can contact the NC Medicaid Ombudsman at 877-201-3750 from 8 a.m. to 5 p.m., every Monday to Friday except for State holidays.

NC Medicaid
NC Medicaid Ombudsman
2501 Mail Service Center Raleigh, NC 27699-2501

Phone: 877-201-3750
Fax: 984-260-9015

  • Resolving Your Complaint