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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: Intercept

Medicaid B: Intercept

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About

Coverage Information Icon

Medicaid Direct (Medicaid B)

Diagnosis Group(s) Information Icon

Mental Health, Substance Use, Developmental Disability

Age Group(s) Information Icon

Child, 18-20

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)

Service Definition Authorization Parameters Information Icon

Initial:

  • 4 units for 4 months

Concurrent:

  • 3 units for 3 months

Request Prior Approval from Alliance Health

Service Codes & Descriptions

  • H0036 U3 HK - Intercept Model/Teen & Young Adult Specialty CareModel
  • H0036 U3 HK FE Intercept FES

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.