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 B - Developmental Testing (Extended)

Medicaid B - Developmental Testing (Extended)

Left Arrow Icon Back to Services

About

Coverage Information Icon

Medicaid B

Diagnosis Group(s) Information Icon

Developmental Disability, Mental Health, Substance Use

Age Group(s) Information Icon

18-20, Adult, All, Child

Reference Documents

Authorization

Submission Requirements Information Icon

  • Service Authorization Request (SAR) required when over unmanaged visits
  • Requests for any psychological testing requires that a list of test(s) to be administered be included with the request

Service Definition Authorization Parameters Information Icon

  • Unmanaged benefit up to 16 units per fiscal year/Billing maximum of 5 units daily
  • Unmanaged benefit Includes any combination of the following codes:  96112, 96113, 96116, 96121, 96130, 96131, 96132, 96133, 96136, 96137, 96146

COVID Prior Approval Flexibility:

  • Waive Prior Approval for Initial and Concurrent Requests

Request Prior Approval from Alliance Health

Service Codes & Descriptions

  • 96112 Developmental test administration first hour
  • 96112 GT CRDevelopmental test administration first hour

Full Service Definition

<a target="_blank" href="https://medicaid.ncdhhs.gov/media/10107/open">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.