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NC Medicaid Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans will launch July 1, 2024. Choice period ends on May 15, 2024. Please call to select your PCP. Find PCPs available in our health plan.

Effective February 1, 2024, citizens of Harnett County are being served by Alliance Health. Access more information for health plan participants or for providers.

Alliance Health
Provider Support: 855-759-9700
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Home / Services / Medicaid B: Ambulatory Detoxification

Medicaid B: Ambulatory Detoxification

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About

Coverage Information Icon

Medicaid Direct (Medicaid B)

Diagnosis Group(s) Information Icon

Substance Use

Age Group(s) Information Icon

18-20, Adults 18+

Reference Documents

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

ASAM Level of Care Information Icon

1-WM

Request Prior Approval from Alliance Health

Service Codes & Descriptions

  • H0014 - Ambulatory Detoxification

Full Service Definition

<a target="_blank" href="https://medicaid.ncdhhs.gov/8a-enhanced-mental-health-and-substance-abuse-services/download?attachment">Download PDF</a>
Download PDF

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.