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Categories:AboutCategories:ACSCategories:All Provider MeetingsCategories:Alliance and Partner CCPsCategories:Alliance Clinical GuidelinesCategories:Alliance Provider Advisory Council (APAC)Categories:Benefit PlansCategories:Billing and EnrollmentCategories:Board Minutes and AgendasCategories:Board of DirectorsCategories:BrochuresCategories:Budget and Invoice Processing FormsCategories:Budget DocumentsCategories:Capacity and accessibility studiesCategories:Claims FormsCategories:Clinical StandardsCategories:Community FlyersCategories:Community Inclusion PlanningCategories:ComplianceCategories:Consumer and Family HandbooksCategories:Consumer Eligibility and EnrollmentCategories:Contact UsCategories:COVIDCategories:Credentialing and enrollmentCategories:Documents/Templates ProvidedCategories:Electronic Visit Verification (EVV)Categories:Finance and ClaimsCategories:GuidelinesCategories:HandbookCategories:HIPAA FormsCategories:HospitalizationCategories:HousingCategories:I/DDCategories:IDD & NC InnovationsCategories:Informational PresentationsCategories:Medicaid TransformationCategories:Member Training and EducationCategories:MH/SA UR ResourcesCategories:NC Innovations WaiverCategories:Network & OperationsCategories:Other Forms and DocumentsCategories:PharmacyCategories:Provider Check Write ScheduleCategories:Provider GuidelinesCategories:Provider MonitoringCategories:Provider Paybacks FormsCategories:Provider Practice TransformationCategories:Provider Training and EducationCategories:PublicationsCategories:Quality managementCategories:Rate SheetsCategories:Realignment - Contracting with Cardinal ProvidersCategories:ReportsCategories:ResourcesCategories:RFPCategories:RFP-deleteCategories:Scopes of WorkCategories:Service DefinitionsCategories:Services and SupportsCategories:Tailored Plan MaterialsCategories:Transitions to Community LivingCategories:Traumatic Brain Injury (TBI)Categories:Traumatic Brain Injury (TBI)Categories:Vendor Set Up FormsCategories:All ProvidersCategories:All MembersCategories:All Alliance Health
Type:AgendaType:BrochureType:Codes lists and ratesType:DirectoryType:FAQsType:Fee & checkwrite schedulesType:FlyerType:FormType:GuidelinesType:HandbookType:InformationalType:InstructionsType:MinutesType:Presentations and TrainingType:ReportType:SOWType:Third-party Resource
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Rate Sheets
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Last uploaded 05-10-2022
Medicaid Rate FY 22 as of April 1, 2022
This indicates the Medicaid FY 22 Rate as of April 1, 2022.
This indicates the Medicaid FY 22 Rate as of April 1, 2022.
Rate Sheets
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Last uploaded 09-16-2022
Medicaid Rate Schedule FY23 as of July 1, 2022
Medicaid Rate Schedule FY23
Medicaid Rate Schedule FY23
ACS
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Last uploaded 05-23-2022
ACS Claim Adjudication Codes
Information on Alliance Health claims adjudication and action
Information on Alliance Health claims adjudication and action
ACS
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Last uploaded 07-05-2022
Billing and Enrollment Manual
Billing & Enrollment Manual FY22-23
Billing & Enrollment Manual FY22-23
ACS
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Last uploaded 08-10-2022
ACS Provider Portal Access Request
Form for providers who wish to register for access to the Alliance Health Provider ...
Form for providers who wish to register for access to the Alliance Health Provider Portal
Rate Sheets
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Last uploaded 09-16-2022
Non-Medicaid Rate Schedule FY23 as of July 1, 2022
Non-Medicaid Rate Schedule
Non-Medicaid Rate Schedule
Rate Sheets
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Last uploaded 05-10-2022
Medicaid Rate FY 22 as of March 1, 2022
This is the Medicaid Rate for FY 22 as of March 1, 2022.
This is the Medicaid Rate for FY 22 as of March 1, 2022.
ACS
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Last uploaded 05-10-2022
ACS Provider Portal Handbook
An instructional handbook on how to use the Alliance Claims System (ACS), a next-generation ...
An instructional handbook on how to use the Alliance Claims System (ACS), a next-generation designed specifically to meet the needs of managed care organizations and the behavioral healthcare providers they support.
Other Forms and Documents
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Last uploaded 07-12-2022
Notice of Change Form
Form to notify Alliance Provider networks of any changes at provider agency.
Form to notify Alliance Provider networks of any changes at provider agency.
Credentialing and enrollment
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Last uploaded 05-10-2022
Credentialing Initiation Form for LPs
Credential initiation form for LPs for Mecklenburg and Orange counties only.
Credential initiation form for LPs for Mecklenburg and Orange counties only.
Brochures
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Last uploaded 05-10-2022
North Carolina’s Innovations Medicaid Waiver Program
North Carolina’s Innovations Medicaid Waiver Program
North Carolina’s Innovations Medicaid Waiver Program
Credentialing and enrollment
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Last uploaded 05-10-2022
Site Enrollment Form
Form to be used as part of site enrollment for specific services.
Form to be used as part of site enrollment for specific services.
Service Definitions
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Last uploaded 05-10-2022
Supported Employment B3
Description of Supported Employment (b)(3) waiver service
Description of Supported Employment (b)(3) waiver service
ACS
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Last uploaded 05-10-2022
Portal User Linked to Multiple Providers
Documentation on the new single portal login for multiple providers.
Documentation on the new single portal login for multiple providers.
Billing and Enrollment
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Last uploaded 05-10-2022
Enrollment and Client Update Overview
Overview of enrollment and client updates.
Overview of enrollment and client updates.
Compliance
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Last uploaded 05-10-2022
Provider Payment Election Form
Election form for return of provider overpayments
Election form for return of provider overpayments
Credentialing and enrollment
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Last uploaded 05-10-2022
Mecklenburg and Orange Provider Enrollment Application-Non Contract Providers
Enrollment application for providers that are not currently contracted with Alliance (Mecklenburg and Orange ...
Enrollment application for providers that are not currently contracted with Alliance (Mecklenburg and Orange County only).
Billing and Enrollment
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Last uploaded 05-10-2022
Alliance Health Residency Attestation Form
Residency verification attestation form for uninsured individuals
Residency verification attestation form for uninsured individuals
Authorizations and SARs
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Last uploaded 05-10-2022
Transition of Care Service Authorization Request
Fillable form for use with requests to move to NC Direct or LME-MCO
Fillable form for use with requests to move to NC Direct or LME-MCO
This page was last reviewed for accuracy on 07/06/2021
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