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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
Provider Portal Log In AllianceHealthPlan.org

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Home / Services / Medicaid B: Community Support Team (CST)

Medicaid B: Community Support Team (CST)

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About

Coverage Information Icon

Medicaid Direct (Medicaid B)

Diagnosis Group(s) Information Icon

Developmental Disability, Mental Health, Substance Use

Age Group(s) Information Icon

18-20, Adults 18+, Child

Reference Documents

Authorization

Submission Requirements Information Icon

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)
  • Functional Assessment
  • Comprehensive Clinical Assessment (CCA) or CCA addendum if length of stay exceeds 6 months

Service Definition Authorization Parameters Information Icon

  • No prior authorization required for first 36 units of service for 30 calendar days
  • Pass through available once per treatment episode per state fiscal year

Initial:

  • Up to 128 units/60 days
  • Up to 420 units/60 days if searching for stable housing

Concurrent:

  • Up to 192 units/90 days
  • Up to 630 units/90 days if searching for stable housing

ASAM Level of Care Information Icon

2.1

Request Prior Approval from Alliance Health

Service Codes & Descriptions

  • H2015HT HF – CST LCAS, other SA
  • H2015 HT HM - CST Paraprofessional
  • H2015 HT HN – CST QP/AP
  • H2015 HT HO – CST Team Lead
  • H2015 HT U1 - CST NC Peer Support Specialist

Full Service Definition

<a target="_blank" href="https://medicaid.ncdhhs.gov/8a-6-community-support-team-cst/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.