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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.

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Provider Support: 855-759-9700
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Home / Services / Medicaid B: Assertive Community Treatment Team (ACTT, Child ACTT, ACTT Step Down)

Medicaid B: Assertive Community Treatment Team (ACTT, Child ACTT, ACTT Step Down)

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About

Coverage Information Icon

Medicaid Direct (Medicaid B)

Diagnosis Group(s) Information Icon

Mental Health, Substance Use

Age Group(s) Information Icon

18-20, Adults 18+, Child

Reference Documents

Authorization

Submission Requirements Information Icon

Assertive Community Treatment Team (ACTT)

  • Initial: Service Authorization Request (SAR), Service Order, Comprehensive Clinical Assessment (CCA)
  • Concurrent: Service Authorization Request (SAR), Updated Person Centered Plan (PCP)

Assertive Community Treatment Team (ACTT) Step Down

  • Initial: Service Authorization Request (SAR), Service Order, Comprehensive Clinical Assessment (CCA)
  • Concurrent: Service Authorization Request (SAR), Updated Person Centered Plan (PCP)

Child Assertive Community Treatment Team (ACTT) 

  • Initial: Service Authorization Request (SAR), Person Centered Plan (PCP) with Service Order, Comprehensive Clinical Assessment (CCA)
  • Concurrent: Service Authorization Request (SAR), Updated Person Centered Plan (PCP)

Service Definition Authorization Parameters Information Icon

Adult Assertive Community Treatment Team (ACTT)

  • Clinical Coverage Policy 8A-1
  • Initial: 6 months/4 units per month
  • Concurrent: 12 months/4 units per month

Adult Assertive Community Treatment Team (ACTT) Step Down

  • In Lieu of Service Definition
  • Initial: up to 6 months
  • Concurrent: up to 6 months
  • Billing limits of 2 units per month. Service must go through end of the month

Child Assertive Community Treatment Team (ACTT) 

  • Initial: 6 months/4 units per month
  • Concurrent: 1 month/4 units per month

 

Request Prior Approval from Alliance Health

Service Codes & Descriptions

  • H0040 - Assertive Community Treatment Team/IDDT
  • H0040 HA- ACTT Child
  • H0040 U5- Assertive Community Treatment Team StepDown
  • H0040 U5 HA- Assertive Community Treatment Team- Child

Full Service Definition

<a target="_blank" href="https://medicaid.ncdhhs.gov/8a-1-assertive-community-treatment-act-program/download?attachment">Download PDF</a>
Download PDF

Alliance Statement of Work

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.