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Type:Agenda Type:Brochure Type:Codes lists and rates Type:Directory Type:FAQs Type:Fee & checkwrite schedules Type:Flyer Type:Form Type:Guidelines Type:Handbook Type:Informational Type:Instructions Type:Minutes Type:Presentations and Training Type:Report Type:SOW Type:Third-party Resource
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ACS
/ 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
ACS Provider Portal Handbook
ACS
/ 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
/ 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 Initiation Form for LPs
Credentialing and enrollment
/ 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.
Credentialing and enrollment
/ 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.
Supported Employment B3
Service Definitions
/ Last uploaded 05-10-2022
Supported Employment B3
Description of Supported Employment (b)(3) waiver service
Description of Supported Employment (b)(3) waiver service
This page was last reviewed for accuracy on 07/06/2021