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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: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: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 EnrollmentCategories:Provider GuidelinesCategories:Provider MonitoringCategories:Provider Paybacks FormsCategories:Provider Practice TransformationCategories:Provider Training and EducationCategories:Quality managementCategories:Rate SheetsCategories:ReportsCategories:ResourcesCategories:RFP - Provider Network BidsCategories:Scopes of WorkCategories:Service DefinitionsCategories:Services and SupportsCategories:Tailored PlanCategories: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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Medicaid Rate Schedule FY23 as of July 1, 2022
Rate Sheets
/
Uploaded: 02-01-2023
Medicaid Rate Schedule FY23 as of July 1, 2022
Medicaid Rate Schedule FY23
Medicaid Rate Schedule FY23
Provider Directory
Services and Supports
/
Uploaded: 02-01-2023
Provider Directory
A listing of the providers who are members of the Alliance Health Provider Network.
A listing of the providers who are members of the Alliance Health Provider Network.
Tailored Plan Member Handbook
Tailored Plan Materials
/
Uploaded: 02-01-2023
Tailored Plan Member Handbook
NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan Member Handbook
NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan Member Handbook
Notice of Change Form
Other Forms and Documents
/
Uploaded: 02-01-2023
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.
Site Enrollment Form
Provider Enrollment
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Uploaded: 02-01-2023
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.
Alliance Provider Onboarding Orientation
Provider Training and Education
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Uploaded: 02-01-2023
Alliance Provider Onboarding Orientation
• Alliance Organization Chart • Medicaid Managed Care • Tailored Plan Quality Strategy • ...
• Alliance Organization Chart
• Medicaid Managed Care
• Tailored Plan Quality Strategy
• (...)
Non-Medicaid Rate Schedule FY23 as of July 1, 2022
Rate Sheets
/
Uploaded: 02-01-2023
Non-Medicaid Rate Schedule FY23 as of July 1, 2022
Non-Medicaid Rate Schedule
Non-Medicaid Rate Schedule
TP Medicaid Provider Contract Template
Provider Enrollment
/
Uploaded: 02-01-2023
TP Medicaid Provider Contract Template
This is a copy of the Alliance Health professional provider contract template. It is ...
This is a copy of the Alliance Health professional provider contract template. It is provided for review only and is not formatted for signatures.
ACS Provider Portal Access Request
ACS
/
Uploaded: 01-12-2023
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
Individual and Family Handbook
Consumer and Family Handbooks
/
Uploaded: 02-01-2023
Individual and Family Handbook
Informational guide for Alliance Health members
Informational guide for Alliance Health members
ACS Claim Adjudication Codes
ACS
/
Uploaded: 02-01-2023
ACS Claim Adjudication Codes
Information on Alliance Health claims adjudication and action
Information on Alliance Health claims adjudication and action
Provider Request for Reconsideration of an Action Form
Compliance
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Uploaded: 01-12-2023
Provider Request for Reconsideration of an Action Form
Provider Request for Reconsideration of an Action Form
Provider Request for Reconsideration of an Action Form
RB-BHT-SPA-approval
Scopes of Work
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Uploaded: 02-01-2023
RB-BHT-SPA-approval
State plan amendment approval for Research-based Intensive Behavioral Health Treatment (RBI_BHT)
State plan amendment approval for Research-based Intensive Behavioral Health Treatment (RBI_BHT)
B3 AH Respite H0045
Service Definitions
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Uploaded: 02-01-2023
B3 AH Respite H0045
Service definition and requirements for respite.
Service definition and requirements for respite.
ACS Provider Portal Handbook
ACS
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Uploaded: 02-01-2023
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 (...)
2023 Checkwrite Schedule
Provider Check Write Schedule
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Uploaded: 02-01-2023
2023 Checkwrite Schedule
Alliance Health 2023 checkwrite schedule
Alliance Health 2023 checkwrite schedule
Alliance NC TBI Waiver Individual and Family Guide
Traumatic Brain Injury (TBI)
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Uploaded: 02-01-2023
Alliance NC TBI Waiver Individual and Family Guide
Alliance NC TBI Waiver Individual and Family Guide
Alliance NC TBI Waiver Individual and Family Guide
Clinician Directory
Services and Supports
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Uploaded: 02-01-2023
Clinician Directory
A directory of clinicians within the Alliance Health provider network.
A directory of clinicians within the Alliance Health provider network.
ILOS AH In Home Therapy Service (IHTS) H2022 HE U5
Service Definitions
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Uploaded: 02-01-2023
ILOS AH In Home Therapy Service (IHTS) H2022 HE U5
Alternative or “in Lieu of” Service Description for In Home Therapy Services (IHTS)
Alternative or “in Lieu of” Service Description for In Home Therapy Services (IHTS)
This page was last reviewed for accuracy on 07/06/2021
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