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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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Medicaid B: MultiSystemic Therapy (MST)

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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

Age 7-17, Child, 18, 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)
  • Requests to extend beyond 5 months should include documentation of consultation with MST consultant

Service Definition Authorization Parameters Information Icon

Initial: 4 units for 4 months

Concurrent: 1 unit for 1 month

  • Ages 7 – 17

Service Codes & Descriptions

  • H2033 U3 HE - MST Payment Trigger
  • H2033 U3 HE GT - MST Payment Trigger
  • H2033 22 HE - MST-PSB Payment Trigger

Full Service Definition

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