Skip to main content

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 or for providers.

Provider Central Search

Use the search function below to search Provider Central

Medicaid B: Intensive In Home (IIH), In Home Therapy Services (IHTS), and Life Set Program

Left Arrow Icon Back to Services

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, Child

Authorization

Submission Requirements Information Icon

Intensive In Home (IIH) H2022
Clinical Coverage Policy 8A
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)

In Home Therapy Services (IHTS) H2022 HE U5
In Lieu of Service Definition
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)

Life Set Program (Transitional Youth Services) H2022 U5

If service exceeds 9 months:

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

Service Definition Authorization Parameters Information Icon

Intensive In Home (IIH) H2022
Initial:

  • 100 units/6 months

In Home Therapy Services (IHTS) H2022 HE U5
Initial:

  • 24 units/180 days

Concurrent:

  • 4 units/1 month

Life Set Program (Transitional Youth Services) H2022 U5

  • 9 months unmanaged benefit

Service Codes & Descriptions

  • H2022 U5 Transitional Youth Service- Life Set Program
  • H2022 - Intensive In Home
  • H2022 HE - Child First (code formerly used for FCT Monthly)
  • H2022 HE U5- In-Home Therapy Services

Full Service Definition

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

Alliance Statement of Work