Skip to main content

NC Medicaid has changed the start date for Tailored Plans to October 1, 2023. Until then people will keep getting services the way they do now.

Alliance Health
Provider Support: 855-759-9700
Provider Portal Log In AllianceHealthPlan.org

Provider Central Search

Use the search function below to search Provider Central

Home / Services / Medicaid - Ambulatory Detoxification

Medicaid - Ambulatory Detoxification

Left Arrow Icon Back to Services

About

Coverage Information Icon

Medicaid B

Diagnosis Group(s) Information Icon

Substance Use, Assessment Only

Age Group(s) Information Icon

Adult, 18-20

Reference Documents

No Reference Documents have been attached to this service.

Authorization

Submission Requirements Information Icon

  • Service Authorization Request (SAR)
  • Person Centered Plan (PCP) with Service Order

 

Service Definition Authorization Parameters Information Icon

https://medicaid.ncdhhs.gov/providers/program-specific-clinical-coverage-policies

 

  • Initial: 7 days
  • Concurrent: 3 days
  • Maximum 10 days per episode

COVID Prior Approval Flexibility

  • Waive Prior Approval for Initial and Concurrent Requests

ASAM Level of Care Information Icon

1-WM

Request Prior Approval from Alliance Health

Service Codes & Descriptions

  • H0014 - Ambulatory Detoxification

No Reference Documents have been attached to this service.

Alliance Provider Support is available to answer provider questions about authorization, billing, claims, enrollment, ACS, or other issues.

Call 855-759-9700 Monday-Saturday from 7:00am-6:00pm.